Part-1, Application Form for Membership of AIGETOA

To

Photograph

The General Secretary

All India Graduate Engineer Telecom Officers Association (AIGETOA)

Subject: Application for admission as a Member of the AIGETOA.

Dear Sir,

I wish to apply for admission as a member of AIGETOA. My brief particulars are as under:

S.N / Subject / Particulars
1 / Name of the Applicant
2 / Father’s/Husband’s Name
3 / HRMS No
4 / Year of Recruitment
5 / Designation in BSNL
6 / SSA
7 / Telecom Circle
8 / Permanent Address:
9 / Correspondence Address:
10 / Date of Birth:
11 / Contact No. (O/R) with Code:
12 / Email ID
13 / PAN No.

2. I certify that:

  1. I unconditionally subscribe to the aims & objects of the Society and contribute towards attainment of the same.
  2. I will abide by the Byelaws of the Society, as applicable and amended from time to time.
  3. I have not been convicted of an offence involving moral turpitude involving imprisonment.

3. I am enclosing herewith the following Documents:

  1. DD/Pay Order/ Cheque/Transaction No.______dated ______for Rs.______drawnin favour of AIGETOA CHQ (A/c No. 007010100808101) towards membership fee.
  2. DD/Pay Order/Cheque/Transaction No.______dated ______for Rs.______drawnin favour of AIGETOA CHQ (Axis Bank A/c No. 007010100808101) towards Annual/Monthly subscription forthe Financial Year ______
  3. Two passport size photographs.

4. I request you to kindly admit me as anOrdinaryMember of the Society.

Thanking you,

Yours faithfully

Dated: ______

Place: ______

(Signature of theApplicant)

Part-2,Recommendations of District Secretary and Circle Secretary:

I recommend admission of Sh. ______s/o ______, aged_____ years, HRMS No______, as Ordinary member of theSociety.

(Signature of District Secretary)

(Signature of Circle Secretary)

Part-3, Decision of the Governing Body:

Sh.______s/o ______, aged _____ years, is admitted as Ordinary member of the Society w.e.f. ______under membershipno. ______vide resolution bearing No.______in the meeting of the Governing Body held on ______He may be issued an Identity Card of the Society & his name may be entered in the Register of Members.

(General Secretary)

AIGETOA

Dated: ______

Place: ______