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* Required Fields
SECTION 1: PESONAL INFORMATION
First Name*
Last Name*
Current occupation (designation, organization)*
Educational Background
Email*
Cell Phone*
Address, for correspondence (Please provide address which will be the same for atleast 2 years)*
City*
State*
Pin Code*
Date of birth*
SECTION 2: INVOLVEMENT IN OTHER ORGANIZATIONS
Are you currently a member of any other organizations within your college (if you are a student) or otherwise? Please mention names of the organizations along with positions held, if any.
(500 characters left)
SECTION 3: YOU AND LYF
How did you hear about LYF?* From a LYF member
From the website
From email/other notice
Any other (Please specify) 
What are your expectations from LYF? (500 characters left)
What skills/contributions would you like to make to the Liberal Movement through LYF? * Working with the Campus Pulse Project
Writing for the LYF Newsletter and Blog
Communication and media planning
Design publicity material
Volunteering on project basis
Any other (Please specify)
How would you like to pay your LYF membership fee? * Courier Cheque to LYF
Electronic Transfer to LYF
Cash in person to LYF
Receipt no.
(Please enter the receipt no. you may have received upon payment of membership fee. If you have not paid please get in touch with us on nc@lyfindia.org after filling up the form.)
Date of Joining
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I agree to become a member of LYF and follow its policies.
   
Note: Completion of this application does not guarantee being accepted a member. LYF will contact you within a week upon receipt of your application.