Apply for Membership

Complete this form to start your online application (Rs. 500 = 10 shares @ Rs. 50)

Personal Details

Please enter your full name (letters only)
Please enter your father's name
Please select your date of birth
Please select gender
Please select category
Please enter your designation
Please enter office address
Please enter your employee ID
Please enter correspondence address
Please enter a valid 6-digit PIN
Please enter a valid 10-digit mobile number
Please enter a valid email address

Nominee

Please enter nominee name
Please enter nominee relation
Please select nominee date of birth

Service Details (as per service record)

Please enter your basic pay
Please select your appointment date
Please enter your HO name
Please enter your PAN
Please enter your Aadhar number

Permanent Address (for village / P.O. & District)

Nominee Details

Declarations

CTS & Remittance Details

Please enter CTS amount

Upload Documents

Photo (JPG/PNG) and ID proof (JPG/PNG/PDF) are required. Each file up to 2 MB.

Please upload a JPG or PNG photo (max 2 MB)
Please upload an ID proof (JPG/PNG/PDF, max 2 MB)
Please upload a valid file (JPG/PNG/PDF, max 2 MB)

Declaration & Consent

Please confirm the declaration
Please give your consent

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