Membership Form


A N N E X U R E  - I


I, ……………………………………………………(Name & Designation) being a member of All India Central Excise and Service Tax Ministerial Officers’ Association, Kolkata Unit hereby authorize deduction of Half-Yearly/Yearly subscription of   Rs……………………….. …………………………………………………. (Rupees…………………..………………... ……………………………….….)  from the month of………………………………to the month of……………….…………2010/2011 from my salary and authorize its payments to AICESTMOA, Kolkata Unit .

                                                                                       Signature :………………………………
                                                                                       Name :………………………………….
                                                                                       Designation :……………………………
                                                                                       Present Place of Posting………………..

(To be filled by the Association)

It is certified that Shri/Smt…………………………………… ………………is a member of AICESTMOA, Kolkata Unit (Association).  He/She is posted at ............................................. ……………………………………………………..


General Secretary
AICESTMOA, Kolkata Unit

A N N E X U R E  - I


I, …………………………………………………(Name & Designation) being a member of All India Central Excise and Service Tax Ministerial Officers’ Association, Kolkata Unit hereby authorize deduction of Half-Yearly/Yearly subscription of Rs…………………………… .(Rupees…………………………………….…………………………………..) from the month of………………………to the month of………………………2010/2011     from my salary and authorize its payments to  AICESTMOA, Kolkata Unit.

                                                                               Signature :……………………………………
                                                                               Name :……………………………………….
                                                                               Designation :…………………………………
                                                                             Present Place of Posting……………………. ..

(To be filled by the Association)

It is certified that Shri/Smt…………………………………… is a member of AICESTMOA, Kolkata Unit. He/She is posted at ……………………………………………………………..


                                                                                                                         General Secretary
                                                                                                       AICESTMOA, Kolkata Unit

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