Application for Membership

The Himalayan Club > Application for Membership

* required fields.

I apply to be a ANNUAL MEMBER / LIFE MEMBER / ASSOCIATE of the Club and state my qualifications and other information for your consideration. *

Name in Full *

Upload Photo * (Max 5 MB & Allowed jpg, jpeg, png, gif format)

Permanent Address/ Address for Communication *

Date of Birth *

Nationality *

Rank, Profession or Occupation

Email *

Telephone *

Experience of mountain travel or elsewhere (area/period and interest in the objects of the Club
(Minimum 1 row need to be filled)

Year / Month	General interest in mountains	Full Particulars of Trek, Expedition, Exploration, Studies, If Any.
Year / Month	General interest in mountains	Trekking	Climbing, if any	Region

Any other particulars and allied interests

Whether applied for Club Membership before? No / If Yes, when

Proposer & Seconder

All applications need a proposer and Seconder (Member of the Club for minimum 3 years - Rule 4).
If you have one, tick the first box, give their name and attach their consent to propose and support your application.

If you don’t have one, tick the second box.

I have a proposer and seconder and have sent him/her a copy of this application with the letter of support to complete.

Proposer’s name

Seconder’s name

Upload pdf of email/ letter (Max 10 MB & PDF, Doc & Docx allowed)

I do not know anyone eligible to propose/ second me. Please arrange for a member to contact me.

Upload Signature (Max 1 MB & Allowed jpg, jpeg, png, gif format)

Please leave this field empty.

Application for Membership

Proposer & Seconder

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