To The Executive Secretary & Director General Bharatiya Vidya Bhavan K.M. Munshi Marg, Chowpatty, MUMBAI 400 007, India Phone: 23631261
Dear Sir, I heartily endorse and subscribe to the principles, and ideals of Bhavan and request you to enroll me as a Life Member & Life-Subscriber for the periodical indicated below. I have remitted Rs. 10000.00 by M.O. Cheque D.D. Cheque/ DD Number. on Bank.
1. Full Name: 2. Address:
3. Date of birth:
4. Telephone Numbers:
Office:
Residence:
5. Periodical Opted:	Bhavan's Journal Navneet Hindi Navneet Samarpan
6. E mail Id:
Date:	Signature :________________

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