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Form No : EDCS/MAF-01 AMaBo Ganon dOGadGnGded aQomd smgcvOGnd ato deseo a8Go army | asda) Crom omfuteafsr mi Gna), Ads, sLeasals ssid Education Employees Co-operative Thrift & Credit Society Limited ep0Bec: 1930 80. gaan 736 achuzmanjd shapgeh evualglact \igsrpb wpa mimpghamed GupGansteniniGd gheranriaenen TUEIseG oMiadgdsms Gen jbs GaromngHiCus sony Com Gib umppumd shajuussGor Geaniesass sles ulapsler ats ois) CUBHBUIGAT eEbiS oman Gawigu FB Gumus Cass (eK sodomy spe CaM jyMLu sum ucyusd emLne speBCG <4DLULLL BomigsCrsi oo a pSusiia: Sp acum GoASGps ‘I'm the undesigned that furnished particulars in this application do here by authorize to remit membership fees and other dues from my salary in order to get the membership of Education Employees’ Cooperative Thrift And Credit Society Ltd. I further declare that the aforesaid remittance would not be suspended without tendering my resignation from the membership duly. I agree to abide by the by laws and decisions taken by the society for the continuance of membership. In the event of transfer, leaving the ‘employment or at retirement it would be notified to the society accordingly, In case of department transfer of retirement I would agree to pay all the dues in full or make arrangement to deduct the same from relevant payroll. Roo / diag / Date eae Badied aie oflaiontaigsnySeit couGusninab / Applicants’ signature 08 | SbaiGs posites Sem lemmas « uunasijaa) For Office Use Only 088 9g oge O83 mmBndioe arSad mS G8 /02/8a/e0282 e009 des mBrGadOOO DRO wxéHVO 201, Bo oS educa Onde TAOSEE eaerBa eh E exo. mers 8 o€d900 aed De Fao - gtho e¢nS Lggatex Ga sotens merBadde edo g bao - Chief Secretary

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