non-technical electricity employees` welfare association

NON-TECHNICAL ELECTRICITY EMPLOYEES’ WELFARE ASSOCIATION
( An association for office executives’ )
REGISTRATION NO:- S/2L/25293 of 2014-2015
MEMBERSHIP FORM
To,
The General Secretary,
Non-Technical Electricity Employees’ Welfare Association ,
Serampore-712201.
Name: _______________________________________________________________________________
Father/Husband Name: _________________________________________________________________
Present Address: _______________________________________________________________________
_______________________________________________________________________
Permanent Address: ____________________________________________________________________
____________________________________________________________________
Date Of Birth: _________________________________________________________________________
Contact No: ___________________________________________________________________________
Email Id: _____________________________________________________________________________
Present Place Of Posting: ___________________________. Employee Id: _______________________
Recommended by:
1. ______________________________________________________________________________
2. ______________________________________________________________________________
I wish to join the association. I certify that all details provided by me are correct and true.
Date:
Signature of the Applicant
Approved / Rejected
Signature of Register
Signature of General Secretary