ECOTOURISM AND CONSERVATION SOCIETY OF SIKKIM
 State Archives Annexe, Zero Point, Gangtok 737 101 Sikkim India
Tel: 29154, 28211, 25182 Fax - 29183 Email : ecoss@sikkiminfo.net  

MEMBERSHIP ENROLMENT FORM
Membership Category : Institutional
Name of the Organisation : 
Years of Establishment : 
Type of Organisation :
Educational Institution  Government 
Private Sector  NGO 
Contact Person :
Mailing Address:
 
   
State:  District : Postal Code :
Country :
Telephone (Home) :
(Office): (Fax):
E-mail :
Mobile Phone :
Area of work in which the Organisation is engaged in 
We hereby agree to the terms and conditions of the membership as mentioned and amended from time to time in the constitution of ECOSS

 

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         Signature                                                                       Seal of Organisation                     
*Print this form & send it to: Renzino Lepcha, Executive Secretary, Ecotourism and Conservation Society of Sikkim, State Archives Annexe, Zero Point, Gangtok, Sikkim - 737101, India. Phone :0091- 3592 - 29154, 25182, 28211, Fax: 0091 - 3592 - 31276 , Email : ecoss@sikkiminfo.net
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FOR OFFICE USE ONLY

Membership Fees Paid Rs……………….. Vide Cash/Cheque No. ……………… Dated ………………….
Date of Admission to membership ……………………….
Membership Approved by ……………………………….
Membership Identification Number…………………..