INDIA Afixa recent

THE NATIONAL COUNCIL OF YMCAs OF-110 001

passport
New Delhi Photograph
BnaratYuvak Bhavan, Jai Singh Road, and attach an
Tel. No.: 011-23364309, 23360769 extra
E-mail nationalcouncilymca@gmail.com;ngSvImcaindia2020@gmall.com photograph for
the delegate
Website www.ymcaindia.org
2023
Ordinary General Meeting (National Triennial Convention)
XXoXVI
Date February 26, 2023, at 9:00 am
Venue :YMCA Royapettah Branch, No 24, West Cottage Road, Royapettah, Chennai, Tamil Nadu-a
Host YMCA Madras
REGISTRATION FORMM
Kegistration closes on Friday, January 20, 2023, by 5:30pm
01.
******

Name (in Block

Letters). °**s*************aa** *es****e*s* s aeeeese *********
e*************************e****°

M o b i l e No..*5**********"°***
02. Age.. E-mail. *******9******************* *

****

03. Address for communication..*********************°***********°**°°*****°**°**

****************************
4
**

* **°**********°************** ******* **
***°*°****°*°******°*************e*****e******esoa0*seet** s * ****** *
*********

04. Representing YMCA of ******onotsnaedeses*osouosooe*ssoseto*veeessene*********assebsvaeee...Region

hrs
05. (a) I plan to arlve in Chennal by Alir/Tralin/Bus on .
hrs.
(b)1 plan to leave on..

06. Please check the following:

(a) I do not need accommodation as l am making my own arrangement
(b) I need accommodation arranged by the Host (on shared basis)

07. DD No. ***seosveposesessssrse

ated...esesseossnsou.Nan of the Bank.. * *** ************aeo**** ********te

Amount. * * * ° ***

Bank Transfer details..

A of Aadhar Card/ Driving License/Passport/ Election ID Card,

08. Proof of Photo ldentity copy
is attached. Iwill furnish the original at the time of registration.
bearing no. ,

Signature of Delegate.
es***e******e*****a********e******************************************e*w*oeaeveovdeis

The Board of Directors of YMCA. ***********************************.

..in their meeting held on ... n nominated the
to represent our Member Association at the XXXVI Ordinary
above mentioned person as a delegate
is a Full Member of our Assoclation and not a Full Member in any
General Meeting (Convention). He/She
other Member Association.

*****
**v**sesv*****
YOUNG MEN'S CHRISTIAN ************os** ***isvosstnges*sseopesesad**

Signature & Name ofGen./Hony.Secretary

******
* * * ***asb
*

President
Signature & Name of ASSOCIATION

OF NASAPAITINAM
Date enans

Please fill this form and send:

The National Council of YMCAs of India, Bharat Yuvak Bhavan, Jal
.Yellow copy to the National General Secretary,
reach not later than Friday, January 20, 2023 by 5:30 pm with requisite fees.
Singh Road, New Delhi-110001, to YMCA Madras, No.24/223, NSC Bose Road, Esplanade,
Blue copy to Mr. P. Asir Pandian, General Secretary,
Chennai-600001.
bring with him/her at the Meeting
Venue along with Photo ldentity Proof.
White copy is for the delegate to
 NATIONAL COUNCIL OF YMCAs OF INDIA IAffix a recent
THE
Bharat Yuvak New Delhi -110 001
passport
Bhavan, Jai Singh Road, Photograph
and attach an
Tel. No.: 011-23364309, 23360769 extra
E-mail nationalcouncilymca@gmail.com; ngsymcaindia2020.@gmaiL.com photograph for
the delogale
Website: www.ymcaindia.org
Convention) 2023
XXXVI Ordinary General Meeting (National Triennial
Date February 26, 2023, at 9:00 am
Tamil Nadu-600014
Venue :YMCA Royapettah Branch, No 24, West Cottage Road, Royapettah, Chennai,
Host YMCA Madras
REGISTRATION FORM
5:30pm
Registration closes on Friday, January 20, 2023, by
******************3**************as

01. Name (in Block Letters).*******e**va*aptes **s*s*******soasp* ******************************

**********e********************* Mobile No... ******* ********ss**

02. ge. SeX . E-mall..

*********°3***
***4**** ****** *"**************>4**e*s* ** ****
03. Address for communication.. 4a*es*****e*s*a***********
***

******4*** ******¢*9*********a *****3*4**esot6

04. Representing YMCA of... ************************

..Region *******************°************d*****

(a)I plan to arrive in Chennai by Air/Train/Bus on . s*Par*******4*** **************** ...hrs.

05
************

****** * * * .hrs.
(b)Iplan to leave **a
*****************

v*sses*****************rAeaea*asvan eawaavars eow************teseaea

06. Please check the following:

Yes No
(a)I do not need accommodation as l am making my own arrangement No D
shared basis) Yes
(b) I need accommodation arranged by the Host (on

Dated... ********tee
...Name of the Bank. Amount.....
07. DD No.. *es***er *es*evove***v *******

Bank Transfer details..

Proof of Photo Identity A copy of Aadhar Card Driving License/Passport/ Election ID Card,
08.
is attached. I will furnish the original at the time of registration.
bearing no..

Signature of Delegate. *** **************************

******************

The Board of Directors of YMCA #***a***r****e*******v****v*******

i n their meeting held on ... nominated the
above mentioned person as a delegate to represent our Member Association at the XXXVI Ordinary
General Meeting (Convention). He/She is a Full Member of our Association and not a Full Member in any
other Member Association.
YOUNG MEN'S CHRISTIAN
************a usssauunenoaonenon
********9**********************************
ASSOCIATION
Slgnature & Nameof Gen./Hony. Secretary
Signature & Name of President OF NAGAPATTINAM

officlal Seal
Datesoson
Please fill this form and send:
Yellow copy to the National General Secretary, The National Council of YMCAs of India, Bharat Yuvak Bhavan, Jai
Singh Road, New Delh-110001, to reach not later than Friday, January 20, 2023 by 5:30 pm with requisitefees
Blue copy to Mr. P. Asir Pandian, General Secretary, YMCA Madras, No.24/223, NSC Bose Road, Esplanade,
Chennai -600001.
White copy is for the delegate to bring with him/her at the Meeting Venue along with Photo ldentity Proof.
 THE NATIONAL COUNCIL OF YMCAs OF INDIA Alix a recent
Bharat Yuvak Bhavan, Jai Singh Road, New Delhi -110 001 passport
Photograph
Tel. No.:011-23364309, 23360769 and attach an
E-mail nationalcouncilymca@gmail.com ngsymcaindia2020@gmailL.com extra
photograph for
Website: www.ymcaindia.org the delegale

:FebruaryX Ordinary General Meeting (National Triennial Comvention) 2023

Date 26, 2023, at 9:00 am
A Oyapettah Branch, No 24, West Cottage Road, Royapettah, Chennal, Tamil Nadu-600014
Host YMCA Madras

REGISTRATION FORM
Registration closes on Friday, January 20, 2023, by 5:30pm

01. Name (in Block Letters). ***somansvassesssassasarnaasasesrasarsesnasesnorraassnasness******e*******************************************

02. r*******************»i
Mobile No.

03. Address for communication... *******e**** ***ee*****e******** *********************e************** ********

9***40P#***9***
***e*ae4************e****** **e*****4eo*o**e*******a*e******************

04. Representing YMCA of..

*****e*****e*e************ ***********************************
Region.. ****a *ea**a*«*******eo****

05. (a)I plan to arrlive In Chennai by Air/Train/Bus on.**ew sseneaeasoeeecoeeeeceseten d esueresens s*s*svsesstenesotass+sverrasd
(b)I planto leave on.. aeesso eneno********** *******esosnsoenee******osoe**esaoeC ***
* * * s evaene cee****uetseu** *dtenueessasesynevvaess hrs.

06. Please check the following:

(a) I do not need accommodation as l am making my own arrangement Yes No
(b) I need accommodation arranged by the Host (on shared basis) Yes No

07. DD No.. e *eveerrevoas Dated.. Name of the Bank...****************** *******e**

.Amount..
"*************

Bank Transfer details.. eee oe oeoe ceoes coqoses4sseeeoesses* ****0**9**e99****s*****°*************°**************°***********************t 90*********0999

08. Proofof Photo Identity A copy of Aadhar Card/ Drtving License/Passport/ Election 1D Card,
bearing no.. . s attached. I will furnish the orlginal at the time of registration.

Signature of Delegate aees doreneososeeesoveooe**ee

see ** *s****s*s*s********************************** **************

The Board of Directors of YMCA . ****************************

. i n their meeting held on . nominated the
above mentioned person as a delegate to represent our Member Association at the XXXVI Ordinary
General Meeting (Convention). He/She is a Full Member of our Association and not a Full Member in any
other Member Association.

YOUNG MEN'S CHRISTIAN

ASSOCIATION
a****e*********************************"
p*****s*o*ooeapwersepsovor*s**s*oaso*****
Signature & Name of President OF NAGAPATTINAM
gnature &
Name6f Gen./Hony. Secretay
Official Seal
Date m

Please fill this form and send:

Yellow copy to the National General Secretary,
The
National Council of YMCAs of India, Bharat Yuvak Bhavan, Jai
Singh Road, New Delhi-110001, to reach not later than Friday, January 20, 2023 by 5:30 pm with requisite fees.
Blue copy to Mr. P. Asir Pandian, General Secretary, YMA Madras, No.24/223, NSC Bose Road, Esplanade,
Chennai-600001.
White copy is for the delegate to bring with him/her at the Meeting Venue along with Photo ldentity Proof
 THE NATIONAL CoUNCIL OF YMCAs OF INDIA Affix a recent
Bharat Yuvak Bhavan, Jai Singh Road, New Delhi-110 001 passport size
Tel.No.011-23364309,23380769;Fax:011-233428539 Photograph;
attach an extra
E-mail : nationalcouncilymca@gmail.com photograph

Website: www.ymcaindia.org
NATIONAL BOARD MEETING

Date:Monday, February Youth

VenueYMCAInternational27,
2023
Centre, 6/74. Ritherdon Road, Vepery, Chennai-600007.

REGISTRATION FORM
Registration closes on Friday, January 20, 2023 * °********7****°**********°********°**°**

01. Name (in Block Letters). ave esevav*asserdve******me*eveengordsee avnese****n******

Mobile No..
02. DOB. Gender ... E - m a i l . . .*oP***u9eve*99°9*¢****9*°*********2*
.

**********

03. Address for communication..

***°*****°980a*4

04. *aaapo«¢aaae*esa*e****ae****aveasaa a1**********s***** .Region.

Representing YMCA of.
Dated.
05. Registration Rs. 500/- +GST 18% (Rs. 590/-) vide DD No.. * * * * * * * * e ************

on m i n favour of "The National Council of YMCAs of India", payable at New Delhi.

Bank Transfer details...****» ********* ******************************4 *3*9*+****e*****e*oa*v*

.hrs.
06. (a)I plan to arrive in Chennai by Air/Train/Bus on,
(b)I plan to leave on.. PAso**9*9***e°***********°*******°**** ***********9*****°***********°*°**°******* ...hrs.
*******

07. Ineed shared accommodation (from 26h Feb 2023 night to 27th Feb, 2023, evening):

Yes No, I will make my own arrangement

08. Proof of Photo Identity: A copy of Aadhar Card/ Driving License/Passport/ Election ID Card,
08.

bearing no... ., is attached. I will furnish the original at the time of registration.

Signature of Delegate *****ae9aava*av*av*********+**

The Board of Directors of YMCAA

.in their meeting held on * * *** ***** *********** *********

resolved to nominate the above mentioned person as a delegate to represent our Member
Association at the National Board Meeting. He/she is a Full Member of our Association and not a
Association.
Full Member in any other Member

YOUNG MEN'S CHRISTIAN

* * * * * * * * * * * ***e***** * * * * * v * s * * v s * * * * * *

Signature & Name of President ASSOCIATION Signature & Name

ofGen./Hony. SecretaryV
OF NAGAPATTINAM
official Seal

Please fill this form and send the Blue copy to NationalGeneraiSecretary, The National Council of YMCAs of India,
BharatYuvak Bhavan, Jal Singh Road, New Delh-110001, so as to reach by Friday, January 20, 2023, 5:30 pm,
with requisite fee. .

Piease send the White copy to Mr. P. Asir Pandian, Genenal Secretary. YMCA Madras, No.24/223, NsC Bose Rood,
Esplanade, Chennai-600001. Please bring the Yellow copyto ne eeting Venue with photo identity proof
wwwwwwww
 INDIA
THE NATIONAL coUNCIL OF YMCAs OF Affix a recent
Bharat Yuvak Bhavan, Jai Singh Road, New Delhi-110 001 passport size
Tel.No.011-23384309,23360769,Fax: 011-23342859 Photograph;
attach an extra
E-mail nationalcouncilymca@gmal.com photograph
Website: www.ymcaindia.org
NATIONAL BOARD MEETING

Date
enue
:Monday, February 27, 2023
YCA International Youth Centre, 6/74, Ritherdon Road, Vepery, Chennal-600007.

REGISTRATION FORM
Registration closes on Friday, January 20, 2023
01. Name (in Block
****°***°*°*°***

Letters).
**************

* ****°***°***
e*****°****°******* *0*p4009 se0**o*e0 ****

..Mobile No...
02. DOB... Gender .. . E-mail...
************************°*******

Address for communication

***°***°*******°*****************
.. ********e *¢** *****s**°*****************o *** *******°*°****°
03.

eesssessne ans ssaeoosoraen opsoeo*n*sesneas*oeeenasrevo*********************************

04. Representing YMCA of s**eenp*0*neve**e*o*vsere*******4s***9*94****a*...Region. *****9**44**os***************

05. Registration Rs. 500/- +GST 18% (Rs. 590/-) vide DD No. ..Dated.....

on v
...in favour of "The National Councll of YMCAs of India', payable at New Delhi.
eveeseooo *srorestssoo

Bank Transfer details.. * ***4e es***a48a*5*4ge4********v***#se * * * * * * * * * * * * s * * * * * * * * * **********"********e ***************s*****************"

06. (a)I plan to arrive in Chennai by Air/Train/Bus on. hrsS.

(b)I plan to leave on.. e ***s*s*******e**************eso**********eC ********************************* *************** .hrs.

07. I need shared accommodation(from 26th Feb 2023 night to 27th Feb, 2023, evening):

Yes No, I will make my own arrangement

08. Proof of Photo ldentity: A copy of Aadhar Card/ Driving License/Passport/ Election ID Card,

bearing no.. ***************4************* is attached. I will furnish the original at the time of registration.
Signature of Delegate : *******e *******a ************* ***°**°**********************************9**** °******°

The Board of Directors of YMCA .. n their meeting held on

resoved to nominate the above mentioned person as a delegate to represent our Member
Association at the National Board Meeting. He/she is a Full Member of our Association and not a
Full Member in any other Member Association.

YOUNG MEN'S
Signature & Name of President CHRISTSAAhture
ASSOCIATION & Name
bfGen./Hony. Secretary
OF NAGAPATTINAM
Official SealNAM
Date evaon

Please fill this form and send the Blue copy to Nationai
deneral to
Bharat Yuvak Bhavan, Jal Singh Road, New Delhl-12000, SO assecrerary,
The National Council
of YMCAs of India,
reach by
with requisite fee.
Friday, January 20, 2023, 5:30 pm,
Please send the White copy to Mr. P. Aslr Pandian,
Generai Secrerary, YMCA Madras,
Esplanade, Chennal 6o0001. Please bring the Yellow copY to Tne eeting Venue withNo.24/223, NSC Bose Road,
photo identity proof
 THE NATIONAL COUNCIL OF YMCAs OF INDIA
Affix a recent
Bharat Yuvak Bhavan, Jai Singh Road, New Delhi- 110 001 passport size
Tel.No.011-23364309,23360769 Fax: 011-23342859 Photograph;
attach an extra
E-mail : nationalcouncilymca@gmail.com Iphotograph
Website : www.ymcaindia.org
NATIONAL BOARD MEETING

Date Monday, February 27, 2023

Venue YMCA International Youth Centre, 6/74, Ritherdon Road, Vepery, Chennai-600007.

REGISTRATION FORM
Registration closes on Friday, January 20, 2023
01. Name (in Block Letters). ******************* **********wenove *tvve**teecv**a*eers**********a*res*********+****************

02. DOB... Gender ... ... E-mail... ******a4p**°*ess*

a******+a
.Mobile No.

03. Address for communication...

*********s************

e e * * * * *

************************************ ******

*******°*
*****e **°Av v*s*4++¬r**sev**********************s***************

04. Representing YMCA of. ****veeaeo*«*°*eses*

***4*°*********°*********.
Region

05. Registration Rs. 500/-+GST 18% (Rs. 590/-) vide DD N . . .

. i n favour of '"The National Council of YMCAs of India", payable at New Delhi.

Bank Transfer detalls. ******999***e**^*a+As*********************************A* #****************************************************** ************************

..hrs.
06. (a)I plan to arrive in Chennai byAir/Train/Bus on
ee**** hrs.
(b) I plan to leave on.. *********s*****e************************************ *********************4*****0o*****so*

I need shared accommodation (from 26th Feb 2023 night to 27th Feb, 2023, evening)
07.

Yes No, I will make my own arrangement

08. Proofof Photo ldentity: A copy of Aadhar Card/ Driving License/Passport/ Election 1D Card,
*********************.. is attached. Iwill furnish the original at the time of registration.
bearing no.
*******e*********** ******e********e*****************************
Signature ofDelegate
of YMCA n their meeting held on
The Board of Directors
above mentioned person as a delegate to represent our Member
resolved to nominate the
is a Full Member of our Association and not a
Accociation at the National Board Meeting. He/She
other Member Association.
Full Member in any
YOUNG MEN'S CHRISTIAN
********

**

***
****************************

President
ASSOCIATION Signature & Name-6f Gen./Hony. Secretary
Signature & Name of OF NAGAPATTINAM

Official Seal
Date uae
The National Council of YMCAs of India,
the Blue copy to Nationdi General Secretary,
Please fill this form and send S0 as to reach by Friday, January 20, 2023, 5:30 pm,
Bharat Yuvak Bhavan, Jai Singh Road, New Delh-l1000
with requisite fee. NSC Bose Road,
to Mr. P. Asir Pandian, oenerd deretay, YMCA Madras, No.24/223,
Please send the White copy Please bring the Yellow copytothe Meeting Venue with photoidentity proof.
Esplanade, Chennai -600001.