Annual Report 2018-2019 RTI_AnnualReport_Consolidated_Compressed_lores | Page 133

TM Delegate Form From: Round Table No: Date: To: National Secretary Round Table India Dear Tr., I confirm that the following Tablers who are attending the 58th Annual General Meeting of Round Table India to be held in Chennai on 10th & 11th of January 2019 are representing our Table as official delegates. The above is for your kind information and necessary action. Thanking you. Yours in Round Table For and on behalf of:__________________________ RT No.:__________________ Name:_______________________________________ Designation:_________________________________ Signature:____________________________________ (For Secretariat Use Only) Table No:__________________ 1. Is “C” Form in Order 2. 2. Any Fines or dues received at AGM 3. Voting Right : : : Yes / No Rs. Yes / No National Secretary Round Table India Please Note: Kindly bring this form to the AGM duly signed