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  • Membership Form VLE Society Final

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    M Computer & Travels
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    This document is a membership application form for the North TR District CSC-VLE Society. It requests applicant details like name, gender, date of birth, qualifications, contact information, permanent address, CSC ID and location, bank account details, and signatures. It also has sections for office use, including registration date, membership number, registration fees, and signatures of society officials and the applicant to approve and accept the application.

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    This document is a membership application form for the North TR District CSC-VLE Society. It requests applicant details like name, gender, date of birth, qualifications, contact information, permanent address, CSC ID and location, bank account details, and signatures. It also has sections for office use, including registration date, membership number, registration fees, and signatures of society officials and the applicant to approve and accept the application.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    22 views1 page

    Membership Form VLE Society Final

    Uploaded by

    M Computer & Travels
    This document is a membership application form for the North TR District CSC-VLE Society. It requests applicant details like name, gender, date of birth, qualifications, contact information, permanent address, CSC ID and location, bank account details, and signatures. It also has sections for office use, including registration date, membership number, registration fees, and signatures of society officials and the applicant to approve and accept the application.

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    © All Rights Reserved
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    Registered office: Ichai Lalcherra, P.

    O: Ichai Lalcherra, Dharmanagar, North Tripura, Pin: 799251


    Contact:7005041127/9612552585/9862522530/7005207725/7005582343 Email: ntrdcvlesociety@gmail.com
    ______________________________________________________________________________________________
    MEMBERSHIP APPLICATION FORM
    To
    The Secretary,
    I hereby make an application to join and be admitted as a member of the North TR District CSC-VLE
    Society. I agree to abide by the Society’s By-Laws, Rules & Regulations and any amendment thereof.

    PART-A: APPLICANT DETAILS:

    VLE Name: ___________________________________ Father’s Name: __________________________


    Gender: __________DoB: _______________Qualification: ____________PAN No.________________
    Mobile No. ________________Email ID________________________UID No._____________________
    Permanent Address:____________________________________________________________________
    City/Town_____________________District:________________________Pin Code_________________
    CSC ID: __________________________CSC Location: _______________________________________
    Bank Name: ________________IFSC __________________Bank A/C No._______________________

    Date of Application: ___________________Signature of the Applicant:__________________________

    PART-B: FOR OFFICE USE

    Registration Date: _____________________ Membership Number:_________________


    Official Name: ________________________ Registration Fees_____________________

    Signature of the Secretary Signature of the President

    Signature of the Treasurer Signature of the Member

    Approved & Accepted by


    (District Manager, CSC, North Tripura)________________________________

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