Membership Form

Please fill out the online application form below. This form will take about 10 minutes to complete. Please keep all attachments of scan copies (Photo, DOB Proof, Address Proof and parent’s membership card etc) ready before hand in the prescribed file size below 5 MB in JPG format. This will help you complete the form faster. Thank you.

Parent Information

Membership No. of Parent:

Parent has been Member Since:

Candidate Information

Date of Birth:

Membership Type:

Attach scan copy of birth proof (Upload pdf/jpg/png file not exceeding 5 MB)

Photograph: (Upload pdf/jpg/png file not exceeding 5 MB)

PAN No:

Attach scan copy of PAN card(Upload pdf/jpg/png file not exceeding 5 MB)

Personal Details

First Name:

Last Name:

Son/Daugther of:

Income(Yearly) in Rs:

Mobile:

Email:

Name of school:

College / Graduation:

Post Graduation:

Other Qualification

ADDRESS

Home Address:

Contact No:

Work Details:

Designation at Work:

Family Details

Marital status:
MarriedSingle

Spouse Name:

Attach scan copy of Spouse Photograph(Upload pdf/jpg/png file not exceeding 5 MB)

Spouse Date of Birth:

Attach scan copy of Spouse DOB(Upload pdf/jpg/png file not exceeding 5 MB)

Attach scan copy of Marriage Certificate: (Upload pdf/jpg/png file not exceeding 5 MB)

Dependent Details:

Dependent 1:

Attach scan copy of Photo(Upload pdf/jpg/png file not exceeding 5 MB)

Date of birth

Attach scan copy of DOB(Upload pdf/jpg/png file not exceeding 5 MB)

Dependent 2:

Attach scan copy of Photo(Upload pdf/jpg/png file not exceeding 5 MB)

Date of birth

Attach scan copy of DOB(Upload pdf/jpg/png file not exceeding 5 MB)

Dependent 3:

Attach scan copy of Photo(Upload pdf/jpg/png file not exceeding 5 MB)

Date of birth

Attach scan copy of DOB(Upload pdf/jpg/png file not exceeding 5 MB)

Dependent 4:

Attach scan copy of Photo(Upload pdf/jpg/png file not exceeding 5 MB)

Date of birth

Attach scan copy of DOB(Upload pdf/jpg/png file not exceeding 5 MB)

PROPOSER AND SECONDER DETAILS

Proposer: ( Parent :- primary member )

Seconder:

Consent

I hereby give my consent to the above application form.

Signature of Applicant

Please leave this field empty.

You are not eligible for this application

Membership Form

Parent Information

Candidate Information

Personal Details

ADDRESS

Family Details

PROPOSER AND SECONDER DETAILS

Consent

The Poona Club

The Poona Club Golf Course

Time

Follow us