Membership No………………….

State Bank of India Officers’ Association

(Chandigarh Circle)
APPLICATION FOR MEMBERSHIP
The General Secretary,
SBI Officers’ Association
(Chandigarh Circle),
C/o State Bank of India,
Local Head Office,
Chandigarh-160 017.

Dear Sir,

Please enroll me as a member of the State Bank of India Officers’ Association (Chandigarh
Circle). I have read the Bye-laws & Rules of the Association and I will abide by them as amended
from time to time. I send herewith the biodata form and the letter of authority for monthly
deductions from my salary.

I hereby declare that I am not a member of any other Trade Union.

Yours faithfully,

SIGNATURE

Admitted as member at the Executive Committee Meeting held on __________________.

SECRETARY FINANCE GENERAL SECRETARY PRESIDENT

 BIO-DATA

NAME IN FULL:
(IN BLOCK LETTERS)

FATHER’S/HUSBAND’S NAME:
DATE OF BIRTH:
GRADE:
DATE OF JOINING THE BANK:
BANK JOINED AS :
P.F. NO.:
DATE OF PROMOTION TO PRESENT GADE:
DESIGNATION:
BRANCH/DEPARTMENT:
PERMANENT RESIDENTIAL ADDRESS:

EMAIL ADDRESS:

PHONE NOS. (O)

(R)
(MOB.)

(SIGNATURE)

PLACE: DATED………………………
 ORIGINAL

Place:
Date:

The Branch Manager/Chief Manager,

State Bank of India,
__________________
__________________

Dear Sir,

AUTHORISATION FOR DEDUCTION OF

SUBSCRIPTION FROM MONTHLY SALARY

Please arrange to deduct every month from my salary a sum of Rs. 150.00 (Rupees One
Hundred Fifty only) and arrange to credit the same in our current account No. 10847617845
favouring “SBIOA Chandigarh Circle”.

2. This authorization is in supersession of my previous authorization, if any, and shall

continue to be effective till I revoke it.

Yours faithfully,

Signature
Name (in Block Letters)……………………….
Designation…………………………………………..
Department/Branch……………………………..
PF No…………………………………………………….