A. Applicant Details

B. Contact Information

C. Professional / Social Background

D. Area of Interest in HHT Activities (Tick all applicable)

E. Membership Contribution Model (Time-Value Model)

HHT follows a ₹1 per hour symbolic Time-Value Membership Model Select one:

Mode of payment

F. Voluntary Time Contribution (Optional but Encouraged)

G. In-Kind Donation / Voluntary Contribution (Optional)

Estimated Value (Optional - for records only): ₹

H. Declaration

hereby declare that the information furnished above is true and correct to the best of my knowledge and belief.

I voluntarily apply for membership of Health & Harmony Trust (HHT) and agree to abide by its vision, objectives, ethical guidelines, and disciplinary norms.

- The ₹1 per hour membership fee is a symbolic, non-refundable commitment towards time, compassion, and social responsibility.

- Voluntary / in-kind contributions are non-financial in nature and do not entitle me to monetary compensation.