CLUB INFORMATION

REPORTING MONTH * [dd-MM-yy] CLUB NAME * REGION * -Select- REGION I REGION II REGION III REGION IV REGION V REGION VI REGION VII REGION VIII CLUB INUGRATED ON * [dd-MM-yy] CLUB SPONSOR BY * CLUB REGULAR MEETING * -Select- EVERY FIRST AND THIRD WEEK EVERY SECOND AND FOURTH WEEK EVERY FIRST AND FOURTH WEEK EVERY FIRST AND SECOND WEEK EVERY SECOND AND THIRD WEEK EVERY THIRD AND FOURTH WEEK MEETING PLACE * CLUB MEETS ON * -Select- MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY SUNDAY	CLUB ID NUMBER * ZONE * -Select- ZONE I ZONE II ZONE III CLUB PRESIDENT * CLUB SECERTARY * CLUB TREASURER * CLUB MEMBERS * Verification Code (enter the characters you see in the above picture)
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