Human Rights Commission of Pakistan

Aiwan-e-Jamhoor, 107 Tipu Block, New Garden Town, Lahore 54600

Tel: +92 42 3586 4994, 3586 5969 Fax: +92 42 3588 3582
E-mail: hrcp@hrcp-web.org Website: www.hrcp-web.org

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Membership Form
I support the Universal Declaration of Human Rights dated 10 December 1948 and all other charters,
covenants and protocols of the United Nations on human rights. I stand committed to working for the
recognition, ratification and implementation by Pakistan of all the principles laid down in these
documents.

Please PRINT in all columns

NAME PROFESSION

ADDRESS PHONE / FAX / EMAIL:

CNIC No.: …………………………………….…

NOMINATED BY SECONDED BY
Name ........................................................... Name ...........................................................
Membership no........................ Membership no. .......................

Signature ...................................................... Signature.......................................................

I wish to make the following payments:

(Please tick the appropriate box(es):  )

[A] Annual subscription for year Local resident Rs 500

Overseas resident Rs 2,000
(or equivalent)
[B] Life membership Rs 20,000
[C] Donation (indicate amount) Rs
TOTAL PAID (draft/pay order)

Note: All drafts or pay orders to be made out to Human Rights Commission of Pakistan.
The membership fee is for one calendar year. Life membership can be obtained by making
a simple payment of Rs 20,000.

Applicant’s signature Date

Note: New members have the right to vote in HRCP elections only once they have completed six months’ paid
membership.

..............................................................................................................................................................................

For office use only

Receipt no. Validity of membership
(i) From ___________ to ___________
Dated:
(ii) Life member