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Personal Information

Enter your personal information

Membership in other society? *

YES

NO

Name *

Gender *

Male

Female

Others

Date of Birth *

Mobile Number *

IN (+91)

Email id *

Address *

Caste *

Profile Photo * (Please upload only png, jpg and jpeg file, max size 700 kb.)

Signature * (Please upload only png, jpg and jpeg file, max size 700 kb.)

Document Type *

Upload document * (Please upload only png, jpg, jpeg & pdf file, max size 700 kb.)

Upload Pay Slip * (Please upload only png, jpg, jpeg & pdf file, max size 700 kb.)

Official Information

Enter your official information

Employee Id *

Designation *

Station *

Department *

Date of Joining *

Bank Details

Enter your banking information

Bank account number *

IFSC code *

Nomniee Information

Enter Your Personal Information

Nomniee name

Relationship

Mobile Number

IN (+91)

Email id

Account number

IFSC code

Add Nomniee

Second Nomniee Information

Nomniee name

Relationship

Mobile Number

IN (+91)

Email id

Account number

IFSC code

Second nomniee share

Account Information

Enter Your Account Details

Monthly thrift amount * Thrift contribution must be between (₹ 500 to ₹ 2,000) / month.

Username *

Password

Shares * For new membership share 200 Units @ ₹ 10/- Per unit(min) = ₹ 2,000/-.

Payment

Pay the account opening fee

BANK OF BARODA Saving Account A/c - 77950100000850
IFSC - BARB0VJNSBX

STATE BANK OF INDIA Current Account A/c - 11094829141
IFSC - SBIN0003029

Payment Information

Enter your payment information

Payble amount * Share 200 Units = ₹ 2,000/- and ₹ 100/- Entrance Fee.

Transaction Id

Upload Screenshot / receipt * (Please upload only png, jpg, jpeg and pdf files, max size 700 kb.)

Personal Information

Official Information

Bank Details

Nomniee Information

Second Nomniee Information

Account Information

Payment

Payment Information

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Your application has been submitted and is under review!