Part-1, Application Form for Membership of AIGETOA

To
The General Secretary
All India Graduate Engineer Telecom Officers Association (AIGETOA)
Subject: Application for admission as a Member of the AIGETOA.

Photograph

Dear Sir,
I wish to apply for admission as a member of AIGETOA. My brief
particulars are as under:
S.N
1
2
3
4
5
6
7

Subject
Name of the Applicant
Fathers/Husbands Name
HRMS No
Year of Recruitment
Designation in BSNL
SSA
Telecom Circle

Particulars

8 Permanent Address:
9
10
11
12
13

Correspondence Address:
Date of Birth:
Contact No. (O/R) with Code:
Email ID
PAN No.

2. I certify that:
i. I unconditionally subscribe to the aims & objects of the Society and contribute
towards attainment of the same.
ii. I will abide by the Byelaws of the Society, as applicable and amended from time to
time.
iii. I have not been convicted of an offence involving moral turpitude involving
imprisonment.
3. I am enclosing herewith the following Documents:
i. DD/Pay Order/ Cheque/Transaction No.__________ dated _________ for
Rs.________ drawn in favour of AIGETOA CHQ (A/c No. 007010100808101) towards
membership fee.
ii. DD/Pay Order/Cheque/Transaction No.__________ dated _________ for Rs._______
drawn in favour of AIGETOA CHQ (Axis Bank A/c No. 007010100808101) towards
Annual/Monthly subscription for the Financial Year ______
iii. Two passport size photographs.
4. I request you to kindly admit me as an Ordinary Member of the Society.
Thanking you,
Yours faithfully
Dated: _______________
Place: ________________
(Signature of the Applicant)

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

I

recommend

admission

of

Sh.

_____________________

s/o

_______________________________, aged_____ years, HRMS No_______________,

as Ordinary member of the Society.

(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
membership no. __________ 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: ____________