LENSFED

Online Membership Form

 
 

(2.5 x 3.5 cm, 300 dpi Resolution, jpeg file only)

 Male     Female
  Married     Unmarried

DECLARATION

I, hereby declare that the particulars furnished above are true and correct.

Date : Signature *

Unit Secretary

Taluk/Area Secretary

District Secretary

Note:Take print out and submit the application to unit sercretary along with admission fee Rs 1000/-.