YOUNG FRIENDS OF AL-SHIFA Trust

MEMBERSHIP FORM (Printable Version)

  

Name _____________________________________________________

DOB ________________

Sex   Male             Female

Educational Qualification _____________________________________

Fatherís Name ______________________________________________

Country __________________________________

District ___________________________________

City ______________________________________

Contact # (Phone) __________________________

Address ___________________________________________________

E-Mail _____________________________________________________

Name Of School/College ______________________________________________

Address Of School/College ____________________________________________

____________________________________________________________________

 

 

 

 

 

Al-Shifa Trust Eye Hospital, Jhelum Road, Rawalpindi, Pakistan. Tel.: 9251-5487820 Fax: 9251-5487827
Email: info@alshifa-eye.org.pk     Web: www.alshifa-eye.org.pk