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G.)

ADARSH MILAN I,.IRBAN THRIFT & CREDIT

K-128, Ranjeet Sadan, Room No.409,3rd Floor, Moharnad pur,

Regin. No. : 10128/SWTC/2005

CO.OPERATIVE SOCIETY LTD.Bhikaji Cama Place, New Delhi-l10066

No.

To,

ADARSH MILANCO.OPERATryENew Delhi- 110066

Dear Sir,

1. Name

APPLIGATION FOR MEMBERSHIP

URBAN THRIFT & CREDITSOCIETY LTD,

A/c No.

Dated

I beg to apply for admission as the nnember of the above Thrift and Credit Society, from...,...........1 have carefully read the Rulei and Bye-Laws of the Societylnd I

hereby agree to abide by them. I am not a member of any such other society. My particutars are as unier :

ltttt ttllt2.

3.

4.

Father's/Husband Name

DareorBirrh tlf m ITTTI Age: m Yearc

I II

lt tt tt tttResidential Address

tttl tt iI

Tel. No. (Res.)

5. Ration Card NoJAny other Documentary Proof of Residence/Business Place in Delhi/Driving Licence.(Enclced Photocopy)

iai Occupatron

(b) OfficialAddress

II I tttt tt II

I I I lt

7.

8.

ttt ll tl tlt ttMonthly lncome (Proof) Rs. tlt ttName of the Bank &Addrcss

I tt Itl

tt tt tttl

ttt ttt I ltt ltg. .Narne of l{ominee Relatonstrip with Member ,dge Address

a) Share Honey Rs.

a) Admission Fee Rs.

c) Gompulsory Deposit Rs.

d) Welfare Fund

e) Other Charges

INTRODUCTION

lknow MrJMrs./Miss ................... ................persona!ly and intimaiely and havinglegTd lq tt: oliectslf !!tq lociety an_d the_rights delegation and responsibitities of ihe member and of the opiiionthat he/she is fit and suitable person for admission as-a member

Yours faithfully

Signature

I tt tt I1. Nameof LC.Iember A/c. No. fT-fn

2 )^:* s3:- -;e Rs

c) Cornpbory Depcit Rs. .....'......

d) trJelfare Fund

e) Other Gharges

xrRoDucnoil

Signature

tknow MrJtlrsJHiss """"""'""Persona!ly and intimately.and having-egard to the objects tf the Society anO the rigtrts delegatlon and responsibilities of the member and of the opinion

*rit tre/she is fi{and Suitable person for admission as a member

1. Name of Ll.C. Member

Date of Admissio

I I I

Approved by Managing committee in M.C. Meeting dated

PAN No:-Approving AuthoritY

7

Sign:I ltt