Application Form

PERSONAL DETAILS



EMERGENCY CONTACT


PROFESSIONAL DETAILS


INSURANCE POLICY


SELFIE NOT ALLOWED. LESS THAN 1 MB PHOTO
LESS THAN 1 MB PHOTO
LESS THAN 500 KB PHOTO
I hereby certify that the details given by me above are true and correct and I confirm that I will follow the Rules and Regulations of the Union

PAYMENT DETAILS


Admission Fee

: 100Rs

Membership Card

: 50Rs

Monthly Subscription

: 5*10=50Rs

Total

: 200Rs

BANK DETAILS

IT AND ALLIED EMPLOYEES CONFEDERATION[ITEC]

A/C-6890392088

IFSC CODE-IDIB000T021

IndiaBank,Thycadu,TVM


Top