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  • Exclusive Card Application Form - Retired Personnel

    Uploaded by

    Ami Kar
    2K views1 page
    The document is an application form for a retired personnel exclusive card from the Canteen Stores Department. It requests personal details of the applicant such as name, rank, service details, retirement date and contact information. It also requires a passport photo of the applicant and spouse attested by the concerned records office. The applicant must select a payment mode and sign the form which then requires recommendation and signature from the records office. The form provides spaces for official use like application number, membership number, card delivery details and signatures.

    Original Description:

    CSD application form BD

    Original Title

    Exclusive Card Application Form_Retired Personnel

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    The document is an application form for a retired personnel exclusive card from the Canteen Stores Department. It requests personal details of the applicant such as name, rank, service details, retirement date and contact information. It also requires a passport photo of the applicant and spouse attested by the concerned records office. The applicant must select a payment mode and sign the form which then requires recommendation and signature from the records office. The form provides spaces for official use like application number, membership number, card delivery details and signatures.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    2K views1 page

    Exclusive Card Application Form - Retired Personnel

    Uploaded by

    Ami Kar
    The document is an application form for a retired personnel exclusive card from the Canteen Stores Department. It requests personal details of the applicant such as name, rank, service details, retirement date and contact information. It also requires a passport photo of the applicant and spouse attested by the concerned records office. The applicant must select a payment mode and sign the form which then requires recommendation and signature from the records office. The form provides spaces for official use like application number, membership number, card delivery details and signatures.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 1

    Canteen Stores Department

    EXCLUSIVE CARD FOR RETIRED PERSONNEL


    APPLICATION FORM
    PERSONAL DETAILS OF APPLICANT (USE CAPITAL LETTERS ONLY)
    TS Number

    Rank

    Passport size
    Photo of Applicant
    and Spouse
    Attested by
    CORO/Record
    Office

    Army/Navy/Air Force
    Full Name

    Arms/Service/Department

    Date of Retirement
    Tel/Mobile No

    Spouse Name

    Present Address

    Permanent Address

    Card Fee Payment Mode (By Cash/Bank Transfer)


    Applicants Signature

    Date

    RECOMMENDATION BY CORO/CONCERNED RECORDS


    Rank and Name
    Designation
    Signature & Seal
    FOR OFFICIAL USE ONLY
    Application No

    Date

    CSD Membership No

    Card Delivery Date


    Authorized Signature

    IT Section

    Seal

    Card Section

    Paid

    Not Paid

    APPLICANTS COPY
    Application No

    Date
    Card Delivery Date

    Authorized Signature
    Canteen Stores Department

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