Clickerz Community – Membership Form

Membership Type
---New MembershipRenewalRe-Joining

Your Name*

Date Of Birth*

Upload Your Passport Size Image (Under 2MB )*

Email Address*

Address*

Occupation

Sex*
---MaleFemaleOthers

Mobile Number (WhatsApp Number)*

Nationality*

Photographic Distinction(s)

Photographic Honour(s)

Previously were you a member of any Club or Still you are a member of any club ?
---YesNo

If Yes, Kindly name your previous club and do you have the NOC from your previous club ?

Club Rules & Regulations :
"Click here"

Have you read the Club Rules & Regulations*
---Yes

Account Details:
Beneficiary Name: Abhishekh Chatterjee
Account No.: 10210009259979
Bank Name: Bandhan Bank, Shantiniketan Branch
IFSC: BDBL0001249
Or
G-Pay: +91-8420036160 (UPI ID : ph.abhishekh-1@okaxis)

Club Joining Fees (Annually) : INR 1000/- (Kindly Share the Transaction Receipt)*

Clickerz Community club believes in regular communication with the team members and the primary mode of communication will be through WHATSAPP number.

E-Mail Id will be registered as a secondary way of communication with the team members for any important announcement from the club.

Clickerz Community support only English as a primary means for communication.

Submitting club membership form means you have gone through club’s “Rules and Regulations” and accept all the points mention in the club’s “Rules and Regulations”

Consent : I hereby accept all the terms and conditions of the club and in case of any breach of the same I will abide by the decision of the managing committee of the club.