Membership form

The EBSR has following category of members :-

Donor member
Individual member – Life / Annual member
Institutional member

Eligibility for membership

A person desirous of becoming member of the EBSR should be willing to offer voluntary services towards the objectives of the Eye Bank, especially in the field of HCRP, creating awareness and encouraging community participation for eye donation.

Membership procedure

Any person willing to offer voluntary services to the EBSR could send an application to Secretary. EBSR, along with information about his personal / professional background. After considering his application, if found suitable for associating with EBSR, the applicant would be taken as an EBSR Associate and would be required to help in donation work, in awareness creation for Eye Donation or in the HCRP for a period of at least 6 months. Based on his commitment / contribution to EBSR activities during this period he would be considered for giving the regular membership.

Application for membership of Eye Bank Society of Rajasthan

Type of Membership

Name of organisation/individual

Authorised person for organization

Name

Designation

Date of birth

Date of incorporation

Occupation/Profession or area of operation

Residential address

Official address (With Pin Code)

ID proof

Telephone

(i) Residence

(ii) Office

Mobile no

Likely areas of voluntary service

I subscribe to the mission of the Eye Bank Society of Rajasthan. I am willing to offer voluntary service to the Society for furtherance of the objectives of the Society.

Members recommending for membership:

(i) Name of member

Signature

(ii) Name of member

Signature

Recommendation of Secretary

Order of President

Membership Subscription

Meeting of Executive Committee

Recommendation of Executive Committee

Meeting of General Body

Recommendation of General Body

Date of becoming member