Membership Form Mauritius Arya Ravi Ved Pracharini Sabha APPLICATION FOR MEMBERSHIP Membership TITLE Mr. Mrs. Miss Dr. SURNAME * MAIDEN NAME (if applicable) OTHER NAME/S * DATE OF BIRTH * AGE only visible to admin N.I.C. N° * GENDER * Male Female MARITAL STATUS RESIDENTIAL ADDRESS * City * ALBION ALMA AMAURY AMITIE ANSE JONCHE ANSE LA RAIE ARSENAL ASTRIA BAGATELLE BAIE DU CAP BAIE DU TOMBEAU BAIN BOEUF BALACLAVA BALISSON BAMBOUS BARLOW BATIMARAIS BEAU BASSIN BEAU BOIS BEAU CHAMP BEAU PLAN BEAU SEJOUR BEAU SONGES BEAU VALLON BEAU-BASSIN BEAUX SONGES BEL AIR BEL AIR RIVIERE SECHE BEL ETANG BEL OMBRE BELL VILLAGE BELLE ETOILE BELLE MARE BELLE RIVE BELLE ROSE BELLE VILLAGE BELLE VUE BELLE VUE ALBION BELLE VUE HAREL BELLE VUE MAUREL BELVEDERE BLACK RIVER BLACK-RIVER BLUE BAY BOIS CHERI BOIS D'OISEAUX BOIS DES AMOURETTES BOIS MANGUES BOIS MARCHAND BOIS PIGNOLET BOIS ROUGE BON ACCUEIL BON ESPOIR BONNE MERE BONNE TERRE BRAMSTHAN BRISEE VERDIERE BRITANNIA BUTTE AUX PAPAYES CALEBASSE CALEBASSES CALLEBASSES CALODYNE CALODYNEE CAMP CHAPELON CAMP DE MASQUE CAMP DE MASQUE PAVE CAMP DES EMDREVADE CAMP DIABLE CAMP FOOKUEREAUX CAMP FOUQUEREAUX CAMP ITHIER CAMP LE VIEUX CAMP LEVIEUX CAMP THOREL CAMP YOLOFF CANDOS CAP MALHEUREUX CAP MALHEUREX CAROLINE CARREAU LALLIANE CASCAVEL CASCAVELLE CASE NOYALE CASSIS CASTEL CASTLE CENTRE DE FLACQ CHAMAREL CHAMOUNY CHEBEL CHEMIN GRENIER CHOISY CIRCONSTANCE CITE VERSAILLES FOREST SIDE CLEMENCIA CLUNY CONGOMAH COROMANDEL COTE D'OR COTEAU RAFFIN COTTAGE CREVE COEUR CUREIPE CUREPIPE D'EPINAY DAGOTIERE DAGOTIRE DAGOTTIER DEPINAY DEUX FRERES DUBREIL DUBREUIL EAU BLEUE EAU COULEE EBENE ESPERANCE PITON ESPERANCE TREBUCHET FERNEY FLACQ FLIC EN FLAC FLOERAL FLOREAL FOND DU SAC FORBACH FOREST SIDE FORT GEORGE FUEL GARCHES GARDEN VILLAGE GEBERT GENEVA GEOFFROY GLEN PARK GOKOOLA GOODLANDS GRAND BAIE GRAND BEL AIR GRAND BOIS GRAND GAUBE GRAND PORT GRAND RIVER NORTH WEST GRAND RIVIERE GRAND RIVIERE NOIRE GRAND RIVIERE SUD EST GRAND SABLE GRANDE POINTE AUX PIMENTS GRANDE RETRAITE GRANDE RIVIERE GRANDE RIVIERE NOIRE GRANDE RIVIERE NORD OUEST GRANDE RIVIERE SUD EAST GRANDE RIVIERE SUD EST GRANDE ROSALIE GRIS GRIS GROS CAILLOUX GUIBIES HEAD OFFICE HENRIETTA HERMITAGE HIGHLAND HIGHLANDS HOLLYWOODWAY ILE AUX CERFS ILOT ISIDORE ROSE KHOYRATTY L' AVENIR L'AMITIE L'ESCALIER L'ESPERANCE L'ESPERANCE TREBUCHET LA BRASSERIE LA CAVERNE LA CHAUMIERE LA FLORA LA GAULETTE LA LAURA LA LOUISE LA MARIE VACOAS LA NICOLIERE LA PRENEUSE LA REUNION LA ROSA LA SOURCE LA TOUR KOEING LA TOUR KOENIG LABOURDONNAIS LALLMATIE LAMITIE LAVENTURE LE BOUCHON LE GOULET LE MORNE LE VAL LES SALINES LESCALIER LONG MOUNTAIN LOWER VALE MAHEBOURG MAHEBOUURG MALAKOFF MALENGA MALHERDES MANHATTAN MAPOU MARE CHICOSE MARE D'ALBERT MARE D'AUSTRALIA MARE DALBERT MARE DAUTRALIA MARE GRAVIER MARE LA CHAUX MARE LONGUE MARE TABAC MEDINE MEDINE CAMP DE MASQUE MEL ROSE MELLE ROSE MELROSE MELVILLE MER ROUGE MESNIL MIDLANDS MOKA MON CHOISY MON DESIR MON GOUT MON LOISIR MON ROCHES MONT BLANC MONT CHOISY MONT IDA MONT ROCHES MONTAGNE BLANCHE MONTAGNE LONGUE MONTAGNE ORY MORCELLEMENT RAFRAY MORCELLEMENT SAINT ANDRE MT BLANCHE MT ORY MUMBAI NAIROBI NEW GROVE NOUVEL FRANCE NOUVELLE DECOUVERTE NOUVELLE FRANCE OLIVIA OLLIER PAILLES PALMA PALMAR PAMPLEMOUSSE PAMPLEMOUSSES PARIS PAVILLON PELLEGRIN PERE BERE PEREBERE PEREYBERE PETIT CAMP PETIT RAFFRAY PETIT SABLE PETIT VERGER PETITE JULIE PETITE RAFFRAY PETITE RETRAITE PETITE RIVIERE PETITE RIVIERE NOIRE PHOENIX PHOOLYAR NAGAR PITON PLAINE DES PAPAYES PLAINE DES ROCHES PLAINE LAUZUN PLAINE LAUZUN PAILLES PLAINE MAGNIEN PLAINE VERT PLAINE VERTE PLAINES DES PAPAYES PLAINES DES ROCHES PLAISANCE POINT AUX BICHES POINT AUX CANNONIERS POINT AUX CANONNIERS POINT AUX PIMENT POINT AUX SABLE POINT AUX SABLES POINTE AUX CANNONIERS POINTE AUX BICHES POINTE AUX CANNONIERS POINTE AUX CANNONNIERS POINTE AUX CANONNIER POINTE AUX CANONNIERS POINTE AUX PIMENT POINTE AUX PIMENTS POINTE AUX SABLE POINTE AUX SABLES POINTE D'ESNY POINTE DESNY POINTES AUX BICHES POINTR AUX PIMENTS POMPONNETTE PONT PRASLIN PORT LOUIS PORT MATHURIN POSTE DE FLACQ POSTE LAFAYETTE POUDRE D'OR PRASLIN PROVIDENCE PTE AUX CANONIERS PUTEAU QUARTIER MILITAIRE QUARTIERE MILITAIRE QUATRE BORNES QUATRE COCOS QUATRE SOEURS QUATRES BORNES QUEEN VICTORIA QUINZE CANTONS REDUIT REUNION RIAMBEL RICH EN EAU RICHE EN EAU RICHE LIEU RICHE MARE RICHE TERRE RIPAILLES RIVIERE DU REMPART RIVIERE COCO RIVIERE DES ANGUILLES RIVIERE DES AUGUILLES RIVIERE DES CREOLES RIVIERE DSE ANGUILLES RIVIERE DU POSTE RIVIERE DU REMPART RIVIERE NOIRE RIVIERE NOIRES RIVIERE SECHE ROCHE BOIS ROCHE BRUNE ROCHE BRUNES ROCHE NOIRES ROCHE TERRE ROCHE-BOIS ROCHE-BRUNES ROCHES BRUNES ROCHES NOIRE ROCHES NOIRES RODRIGUES ROME ROSE BELLE ROSE HILL ROUTE NICOLAS ROUTE NICOLAY ROYAL COMPLEX SAINT ANTOINE SAINT AUBIN SAINT CROIX SAINT FRANCOIS SAINT HUBERT SAINT JEAN SAINT JULIEN SAINT JULIEN D'HOTMAN SAINT LOUIS SAINT MARTIN SAINT PAUL SAINT PIERRE SAINTE ANTOINE SAINTE CROIX SAVANNAH SBI BUILDING EBENE SCHOENFELD SEBASTOPOL SEYCHELLES SODNAC SOLFERINO SOLITUDE SOREZE SOTTISE SOUILLAC SSR PAMPLEMOUSSES ST ANDRE ST ANTOINE ST AUBIN ST CLEMENT ST CROIX ST JEAN ST JULIEN ST JULIEN DHOTMAN ST PAUL STANLEY SURINAM TAMARIN TANANARIVO TELFAIR TERRE ROUGE THE MOUNT THE VALE TOUR KOENIG TRANQUEBAR TREFLES TRIANON TRIOLET TROIS BOUTIQUES TROIS BRAS TROU AUX BICHES TROU AUX CERF TROU D'EAU DOUCE TROU DEAU DOUCE TYACK UNION FLACQ UNION PARK UNION VALE UPPER DAGOTIERE UPPER VALE VACOAS VALEE DES PRETES VALENTINA VALETTA VALLEE DES PRETRES VALLEE PITOT VERDUN VICTORIA VIEUX GRAND PORT VILLE BAGUE VILLE NOIRE VUILLEMIN WOLMAR WOOTON District * Port Louis Plaines Wilhems Rivière du Rempart Pamplemousses Moka Flacq Black River Grand Port Savanne Profession * Areas of interest * TELEPHONE NUMBER (Res.) MOBILE NUMBER * mobile number with country code only visible to admin CONSTITUENCY 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 EMAIL * Are you a member of Shakha of MARVPS? * * Yes No If Yes, state the name of the Shakha and its address OCCUPATION * Student Employed Unemployed Housewife Self-employed Name of employer: If you are self-employed, Name of your company Services offered Address of your business Do you agree to be listed in our database as a service provider or on our website? * * Yes No Services offered Do you agree to receive regular updates/news from MARVPS? * * Yes No Are you willing to participate in the activities of MARVPS? * * Yes No Date Signature Membership application is recommended by REFERENCE * Dr Kaviraj Sharma Sukon Mr. Bhaugeerutty Vinod Sharma Mr. Rohit Kumar Chooramun Mr. Vivekanandsingh Rummun (First Vice President) Mr. Beejan Nitish Sharma (Second Vice President) Mr. Domah Ashwan (General Secretary) Mr. Neerunjun Rabind (MC Member, President of Shakha Affairs Committee) Mr. Goburdhan Vishnudeo (Treasurer) Mr. Unauth Nittin Anand (Assistant General Secretary) None Approved yes no Website/URL reCAPTCHA If you are human, leave this field blank. Submit
