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LANCES & GUNS CLUB 4 Photographs

(2 x Passport Size)
2 x (1 x 1)

MEMBERSHIP FORM
MEMBERSHIP NO. _________

Applicants Name:_____________________________________________________________________

CNIC (If underage parents/guardians)____________________________________________

Father’s Name:________________________________________________________________________

(If Family Member) Wife Name: ___________________________________________

Children Name (1):__________________________________(2)_____________________

(3)______________________________________(4)_____________________________________

(5)______________________________________ (6)____________________________________

Mailing address:______________________________________________________________________

___________________________________________________________________________________________

Tel/Mob:_______________________________________________________________________________

Occupation:__________________________________________________ __________________________

Medical information: ________________________________________________________________

Blood Group___________________________ Allergies_____________________________________

Facilities Yes No

General Riding

Show Jumping

Tent Pegging

Polo Lessons

Rifle / Hand Gun Range

Squash Court

Swimming (Seasonal)
MONTHLY CHARGES

Initial membership fee (Non-refundable) Rs.25,000/- (Twenty five thousand only) is to be paid
by all keen Individuals to become members of the club. This amount is payable after approval
of membership by the committee:-
Ser Detail Civilian
1. General Riding
Rs.10,000/-
2. Show Jumping
3. Tent Pegging Rs.10,000/-
4. Polo Lessons Rs.5000/-
5. Rifle/Hand Gun Range Rs.3000/-
6. Squash Courts Rs.3000/-
7. Swimming (Seasonal) Rs.3000/-

UNDER TAKING
I solemnly declare that I understand the fact that Riding, Firing Range, Swimming and its
associated activities invoice an element of physical risk, including serious/fatal injuries, as with
all sports. I have read the rules & regulations and take full responsibility at my own personal
risk.
NAME:______________________________________________________________
SIGNATURE: ________________________________________________________
(If under 18 or not having a valid CNIC)
PARENT’S NAME: ____________________________________________________
SIGNATURE: _______________________________________________________

FOR OFFICE USE ONLY

_____________________________
Recommended/Not Recommended (Secy L&GC)

_____________________________
Verified (FS Wing)

_____________________________
Approved (President)
MONTHLY CHARGES

Initial membership fee (Non-refundable) Rs. 5,000/- (Five thousand only) for Army and Rs.
2500/- (Twenty Five Hundred only) for Rangers is to be paid by all keen Individuals to become
members of the club. This amount is payable after approval of membership by the committee:-
Ser Detail Army Rangers
1. General Riding
2. Show Jumping Rs.2500/- Rs.1000/-
3. Tent Pegging Rs.2500/- Rs.1000/-
4. Polo Lessons Rs.1500/- Rs.500/-
5. Rifle/Hand Gun Range Rs.2000/- Rs.500/-
6. Squash Courts Rs.2000/- Rs.500/-
7. Swimming (Seasonal) Rs.2000/- Rs.500/-

UNDER TAKING
I solemnly declare that I understand the fact that Riding, Firing Range, Swimming and
its associated activities invoice an element of physical risk, including serious/fatal
injuries, as with all sports. I have read the rules & regulations and take full
responsibility at my own personal risk.
NAME:______________________________________________________________
SIGNATURE: ________________________________________________________
(If under 18 or not having a valid CNIC)
PARENT’S NAME: ____________________________________________________
SIGNATURE: _______________________________________________________

FOR OFFICE USE ONLY

_____________________________
Recommended/Not Recommended (Secy L&GC)

_____________________________
Verified (FS Wing)

____________________________
Approved (President)

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