PROFILE OF SOCIETY MEMBERS
APPLICATION FORM FOR SAMAGRA UTKARSHA SAMITI
Membership may be deposit in following bank
Name : Samagra Utkarsha Samiti
Bank : RBL
A/C No : 309006203157
IFSC : RATN0000100
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Email *
NAME

DATE OF BIRTH

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MM
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DD
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YYYY
FATHER’S/HUSBAND NAME
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AADHAR NO    
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PAN NO
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EDUCATIONAL QUALIFICATION
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RESIDENTAL ADDRESS
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OCCUPATION
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OCCUPATION DETAILS COMPLETE  ADDRESS

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INCOME ANNUAL
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AFFILIATION TO ANY OTHER SOCIETY/TRUST/CHARITABLE  COMPANY


SPOUSE NAME
SPOUSE OCCUPATION DETAILS
EMAIL
MOBILE NO.

I, do solemnly swear/affirm that I will faithfully observe and abide by the Constitution, Bylaws, and rules of the Samagra Utkarsha Samiti. I pledge to actively participate in the society's activities, promote its objectives, and uphold its reputation. I understand that membership/Designation is a privilege and I agree to conduct myself in a manner that reflects positively on the society.

I further swear/affirm that I will discharge my duties as a member/office bearer with honesty, integrity, and impartiality. I will respect the rights of fellow members and cooperate fully with the society's leadership.

If at any time, I violate the society's principles or engage in conduct detrimental to its interests, I understand that I may be subject to disciplinary action, including termination of membership.

I hereby subscribe to this oath voluntarily and without reservation.

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Membership Fee Details

I hereby declare that all the statements made in the application are true and complete to the best of my knowledge and belief. I understand that action can be taken against me by the Society, if I am declared by them to be guilty of any type of misconduct mentioned herein. I have informed my Head Office/Deptt, in writing that I am applying for this selection. 


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