SANCHAR NIGAM EXECUTIVES' SSOCIATION(I)
HARYANA TELECOM CIRCLE
Name OF BRANCH:-------------------
1 NAME OF MEMBER ………………………..……………………….
2 FATHER / HUSBAND NAME ..……………..……………………….
3 DATE OF BIRTH …......……………………..……………………….
4 STAFF NUMBER (ALL INDIA) …......……..……………………….
5 POST HELD ……………….............………..……………………….
6 PRESENT OFFICE & PHONE NO……..……………......………….
7 RESIDETIAL ADDRESS & PHONE NO.………......……………….
8 DATE OF ENTRY IN THE DEPARTMENT …..………..………….
9 DATE OF ENTRY IN PRESENT GRADE ………..……..………….
10 YEAR OF RECRUITMENT …………………....………………….
11 EDUCATIONAL QUALIFICATION ………..…………………….DECLARATION
I hereby enroll myself as a primary member of SNEA(I) and agree to abide by the constitution of SNEA(I) and also agree to deduct my monthly subscription of Rs.30/= (Rs. Twenty Five Only) from my salary or cash.
Signature of Member
Date:Signature of Branch /District Secretary
Date:-