BHARATIYA POORVA-SAINIK BANK KARMACHARI SANGH
भारतीय पूर्व-सैनिक बैंक कर्मचारी संघ
(Registered under trade union act-1926 at Kanpur- UP)
REGISTRATION No- 10028 / 2016
All India Trade Union for the Ex-SM Category Bank Employees
महामंत्री कार्यालय:#555, इंद्रानगर उन्नाव (उ.प्र.) 209801
केन्द्रीय कार्यालय: # 02, नवीन मार्केट, परेड चौराहा के पास, कानपुर (उ.प्र.)
Central Office: #02, Navin Market, Parade Chauraha Kanpur (UP)
Website: www.bpsbks.com**Email ID: bpsbksindia@gmail.com

APPLICATION FORM FOR MEMBERSHIP

To,
The General Secretary,

          I request, that I may please be enrolled as a member of the trade union (BPSBKS).I have read the constitution of the union and as a member I shall abide by the same.I shall also abide by the decisions of the union which might be arriving at / from time to time.I am along with application form remitting Rs-1250/- (50/-as Admission Fee (प्रवेश शुल्क) + and initial ANNUAL subscription of Rs-1200/- OR as amended time to time).
My particulars are as follows -

GENERAL DETAILS

Name in Full Qualification
Father's Name Blood Group
Present Residential Address Email ID
State Contact Details
District
PIN
Date of Marriage No of Children Male : Age :
Female : Age :
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BANK EMPLOYMENT DETAILS

Employer Bank PF/EC No Date of Joining
Present Branch & Address Password Designation in the Bank
Office Phone/Mob No

ARMED FORCES SERVICE DETAILS

Service No Section Date of Enrollment
Trade Date of Discharge
Date of Birth Rank(Last Held)

Union Subscription can be paid through NEFT also, directly into union Acct No-52590100002174 (Central Acct) IFSC: BARB 0 BUPGBX, Acct Title- BHRATIYA POORVA SAINIK BANK KARMACHARI SANGH Bank Name- Baroda UP Bank (BUPB) Place: Kanpur

Contact: Madan Mohan Maurya (National President): +91 9818441040, Chandra Shekhar Awasthi (National Gen. Secretary): +91 8960166013, Anand Singh Rathore (National Gen. Secretary Org.): +91 9678087454

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