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Form No.1 Food Corporation of India Membership & Option Form by The Employee (Defined Contribution Pension Scheme)
Form No.1 Food Corporation of India Membership & Option Form by The Employee (Defined Contribution Pension Scheme)
Form No.1 Food Corporation of India Membership & Option Form by The Employee (Defined Contribution Pension Scheme)
1
(To be filled in quadruplicate)
FOOD CORPORATION OF INDIA
MEMBERSHIP & OPTION FORM BY THE EMPLOYEE
(DEFINED CONTRIBUTION PENSION SCHEME)
114. Address for communication / Present address A-303, SAUNDARYA RESIDENCY, BESIDES
HEMANGI APARTMENT, SNEH PLAZA, IOC
ROAD, CHANDKHEDA AHMEDABAD -
382424
15. Mobile number 9724391929
16. E-mail ID banker.mca@gmail.com
17. Option to deduct the arrears of a) in 15 installments
Employee’s subscription @ 2%
(Basic Pay + DA)
Name:
Designation:
Date: (with Seal)
_____________________________________________________________________________________
Date:-__________________
_____________________________________________________________________________________
DECLARATION BY WITNESS
Sr. No. Name and Address of the Witness Signature of the Witness
Signature of the Witness
1 Shri Bhargav Shah,
B-3, Jethabhai Park, Nr. Shantivan,
N.N. Road, Paldi,
Ahmedabad- 380007
2 Smt Barkha Mehta
L-7/73, Balkrishnanagar, Opp. Krishnanagar BRTS
Bus stand, Krishnanagar, Ahmedabad - 382345
__________________________________________________________________________________
Name:
Designation:
Date:
_____________________________________________________________________________________
Controlling Office to forward the nomination to: