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Aisscowalatest

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41 views1 page

Aisscowalatest

Uploaded by

rakeshsharmaa18282
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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ALL INDIA SHORT SERVICE COMMISSIONED OFFICERS WELFARE ASSOCIATION

(AISSCOWA)
(Regn. No.S/2097/2019 under Societies Registration Act of xxi of 1860”)
Regd. Off. AISSCOWA, C/o 17 / 30 Shakti Nagar, New Delhi – 110 007
Email: [email protected]
BANKERS: UNION BANK OF INDIA, Sec. 44, Block-C, NOIDA.
CURRENT A/c NO: 693001010050262 IFSC CODE: UBIN0569305
MOB NO. CAPT MS UPPAL 9560276611/8527788421
CAPT SHEKHAR JOSHI 9650880111
(PURPOSE: PRO RATA OROP & ALLIED ISSUES OF SSCOs/ECOs/WSESOs)

AISSCOWA MEMBERSHIP FORM


(Please fill it, paste a photo and send it by Couries/Speed Post to address given below)

1. Service No..__________________ RANK____________ ARMY/NAVY /AIR FORCE


PHOTO
2. NAME:________________________________________
3 Cms X 3 Cms
3. Course No..___________

4. (a) Date of Commission : / / (b) Date of Release : / /

5. Present & Permanent Address :____________________________________

__________________________________________________________________________

6. Mobile No. _________________ Landline No :_____________________


7. ESM PROOF: Please enclose a Copy of ESM Identity Card, Auth and Release Letter
8. EMAIL ID:_____________________________ MEMBERSHIP NO._____________
9. UNDERTAKING : I want to become the member of All India Short Service Commissioned
Officers’ Welfare Association (AISSCOWA) and am contributing for the purpose Association is
formed and authorize the office bearers to file, conduct on my behalf for PRO-RATA OROP as per
OROP Tables. I also declare that the above information is voluntarily submitted by me and is true.
I have deposited a non-refundable contribution of Rs. 2,000/- (being.Rs.500 as Membership Fees
and Rs.1500 towards Legal Fees) in the Association’s account.
10.Details of Remittance : Cheque/ NEFT/ IMPS No.________________dated / /

Member’s Signature ______________________________ Date: / /


Auth Signatory/ Treasurer ____________________ Secretary ________________________
...............................................................................................................................................................
Please post this form on the address given below, .alongwith enclosures______.
“AISSCOWA, C/o 17 / 30 Shakti Nagar, New Delhi – 110 007”

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