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RMBKS MEMBERSHIP FORM
PROTON MEMBERSHIP FORM
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1 .Full Name of Member:
2 Name of Office and Account:
3.Date Of Birth
4.Age
5.Age Year
6.Employee ID:
7.Salary slip No:
8.Date of Appointment
9.Designation
10. Office Address
11. Residential Address
12.Mobile No
13.Email
13.Occupation of Wife/Husband
14.Number of Dependents
16. Physical Disability / Illness (if any)
16.Participation in social work and its information
Some other special information:
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The above information is true and correct. I accept the constitution and rules of the RMBKS. I request you to make me a member of Rashtriy Mulnivasi Bahujan Karmachari Sangh. Yours faithfully
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