National Youth Assembly

(Membership Confirmation Form)

PHOTO

‘Clear And Formal

Picture For NYA
Membership Card’

I (write your name here) hereby affirm that I accept the membership of National Youth Assembly
2017-18(One year term). I will diligently carry out my responsibilities as a “Member” of National Youth
Assembly on every platform.

Following are the necessary information to be provided:

Name:

Father’s Name:

NIC:

Date of Birth:

Deposit Slip number or online transfer reference no:

Permanent Address:

Postal Address:

Email:
Facebook ID (If any):
Cell Numbers:

I declare that;

i. I will perform to the best of my abilities and in the best interest of Pakistani Youth from the
platform of the National Youth Assembly, faithfully in accordance with Code of conduct of
National Youth Assembly.
ii. My participation in the National Youth Assembly is voluntary.
iii. I will never indulge in negative activities and will never become the reason of unrest in NYA.
iv. I will act as a role model for my team members and will actively pursue for development of
progressive policies, conducting research for bringing new ideas, attending subject specific media
programs i.e. talk shows, debates etc. and for any other productive work assigned to me.
v. I will not allow my personal interest to influence my conduct or decisions at this position.
vi. In case of any violation of code of conduct or any serious concerns about my performance, the
Leadership of the National Youth Assembly may suspend or terminate my position or may revoke
my position/membership.

Dated: