Kathmandu Alka Leo Club Membership Form

Leo Club of Kathmandu Alka
We are a youth organization of Lions Clubs International sponsored by Lions Club of Kathmandu Alka chartered on 10th February 2016. We conduct various projects in the fields of health care, elders, children, differently-abled, literacy and education, and self-development. We are a club of District 325 F, Nepal.
Complete the form below to sign up for our membership.
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1. Name*

First NameMiddle NameLast Name
2. Gender*

MaleFemaleOthers
3. Date of Birth:*

MonthDayYear
4. Blood Group*

A+B+AB+O+A-B-AB-O-
5. Occupation*
6. E-mail*
example@example.com
7. Phone Number:*
8. Current / Temporary Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
9. Permanent Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Leo Club of Kathmandu Alka
10. Where did you hear about us?*

A Friend or ColleagueSocial MediaProgramsPostOther
11. Why do you want to join Leo Club of Kathmandu Alka?*

VolunteeringSelf DevelopmentSocial WorkOther
12. How can you contribute to the club?*
Write a short paragraph on how you can contribute to the club.
13. What motivates you to join the club?*
Write a short motivation letter here.
14. What are your expectations from the club?*
Write a short paragraph on your expectations from the club.
15. Please provide us the link to your social media handles , so that we can contact you as well as add you to our club group.

Privacy Policy
Please reach out and read our Privacy Policy in order to understand how your information is used and shared, and check below if you accept the policy.

I understand that by participating in this Leo club, I will be required to attend club meetings and club service projects, and may also be asked to participate in club social events. I also understand that by participating in this Leo club, I may be filmed or photographed at various club meetings, projects, and events.

Furthermore, I understand that my personal data will be provided to the sponsoring Lions club and to Lions Clubs International (LCI) headquarters to facilitate communications with and between our members. This information is to be used solely to further LCI’s Purposes including “to unite the clubs in bonds of friendship, good fellowship and mutual understanding” and to conduct its necessary operational activities in accordance with the LCI privacy policy.
Please check the appropriate boxes below to indicate the items to which you consent:*

I grant permission to be filmed and/or photographed at Leo/Lions events and meetings, and for these videos and/or images to be posted on the Lions Clubs International public website at www.lionsclubs.org, the Lions Clubs International members-only Intranet site (MyLCI), other LCI member databases, and other Leo/Lion websites at the club, district and multiple district levels.I grant permission for my personal data to be entered into Lions Clubs International member databases and to be used to facilitate communications with and between LCI members.
By signing below, you indicate that you have read the information outlined in this form, that you agree to be an active participant in the Leo club, and that you consent to the items you have checked above.
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Once you submit your application, we will contact you shortly to complete your membership application.

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Leo Club of Kathmandu Alka

Leo Club of Kathmandu Alka

Privacy Policy