Govt. of NCT Employees Welfare Association (Regd.)

G-17/15, 1^st Floor, Sec-15, Rohini, Delhi-85

MEMBERSHIP FORM The President, Govt. of NCT Employees Welfare Association.   Sub:  Becoming A Member   Sir,          Please enroll myself as a member of this Association.  I undertake to abide by the rules and regulations of the Association & will promptly intimate the Association upon occurrence of any change (s) in particulars furnished hereunder:    Name     DOB     DOJ in Govt Service as     Present Post held     Place of Duty     Residential Address     Telephone (Office)     Telephone (Residence)     Mobile Number     Email ID                I certify that the details given hereinabove are true and correct to the best of my knowledge and belief.   Accepted and allotted Membership No.__________ Yours Sincerely,     President / Gen. Secretary Signature_______________     ----------------x-------------------x-------------Tear from here-------------x-----------------x---------------------   Provisional Receipt for Record Purposes Received with thanks a sum of Rs. 10/- towards membership charges and subscription from Mr./Mrs.___________________________________.  Formal Receipt will be issued by the Cashier of the Association.  Thereafter the name of the applicant will be displayed on the website of the Association within 30 days of submitting this form under the page MEMBERS PAGE.  You can make as many photocopies of this form as you want to make new members of this association.  For more details log on to our website.   For President /Gen Secy, Govt. of NCT Employees Welfare Asso. (Regd.) Website: http://gnctewa.tripod.com       Email: delhigovtemployees@yahoo.co.