GOVERNMENT OF PAKISTAN

IPCIH YOUTH & PEACE SOCIETY

International Peace Committee for Interfaith Harmony

Official Society Membership Registration Form

APPLICANT INFORMATION

Full Name *

Father Name *

CNIC *

Date of Birth *

Gender *

Nationality

District/City *

Province *

APPLICANT PHOTO

Upload Your Recent Photograph * Supported formats: JPG, PNG, GIF (Max 2MB)

CONTACT INFORMATION

Mobile Number *

WhatsApp Number

Email Address *

Complete Residential Address *

SOCIAL MEDIA PROFILES (Optional)

EDUCATIONAL INFORMATION

Qualification *

Institute/University *

Occupation/Profession

SKILLS & EXPERIENCE

Department/Wings of Interest Select the department you want to work with

Experience & Skills

MEMBERSHIP CATEGORY / POSITION

Select Your Position * .

MEMBERSHIP FEE (Required)

Executive Member PKR 500 / one-time SELECT

General Member PKR 300 / one-time SELECT

Cabinet Member PKR 1,000 / one-time SELECT

Senior Advisor PKR 800 / one-time SELECT

Please select a membership category.

Total Membership Fee: PKR 0

PURPOSE OF JOINING

Why do you want to join IPCIH Youth & Peace Society?

I hereby declare that all information provided is true and correct to the best of my knowledge.

SIGNATURE

Signature Name *

Date *