Membership Form

This is not an organ donation registration form. This registration enables you to become a member of Zublee Foundation only.

Member Information
Name*
Prefix First Last
Email*
Mobile Number*
Date of Birth*
Date Format: DD slash MM slash YYYY
Blood Group*
Gender*
Occupation*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Are you differently abled?*
If yes, please mention
Do you want to pledge your organs?*
Have you registered with any other NGO or Organisation?*
If yes, please mention
Membership Fees
Type of Membership*
- Student
- Donor
Annual Membership Dues*
- ₹ 100
- ₹ 500
- ₹ 1000
Annual Membership Dues*
- ₹ 2000
- ₹ 5000
- ₹ 10000

Dues are on a 12 months basis from the date of registration.
Non payment dues by a member shall be considered equivalent to resignation.
The powers and privileges of a member shall not be transferable.
Every member would be given a membership card from the foundation but it is non-transferable and can not be shown anywhere for any personal benefit or interest.
Misuse of the membership card is strictly prohibited and if found, membership may be terminated permanently and legal action may be initiated.
The members of the Foundation will be informed prior to any event and so the presence and support is kindly solicited.
The Board of Directors has got the final approval on the classification of membership and may approach any of the General Members to be a part of Honorary or Life Membership keeping in view on their support and contribution towards the Foundation.
As we act as an NGO and working for the society without any profit making intension, therefore no perks or salary will be given to any member.

Registered Office

House No.17, 2nd Floor, By Lane No. 3, Rajgarh Road, Near Icon Academy, Guwahati – 781003, Assam

Become a Member