CENTRAL GOVERNMENT OFFICERS’ WELFARE ASSOCIATION
C/O HOTEL ALAKAPURI, KOZHIKODE-673002
(Registered under societies Regn Act 1860. Regn No 73/79 dt 26.3.1979)
APPLICATION FOR MEMBERSHIP
| NAME | DESIGNATION |
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| Official Address with Phone Numbers | Present Address with Phone Number |
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| Permanent Address with Phone Number | e-mail address |
| Mobile Number | |
| Name of children with age(Please specify Son/Daughter) | Special interest if any |
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I hereby agree to abide by the Rules and regulations of the Association and declare that the information given above are correct and changes, if any, will be intimated as and when occur.
Calicut
Date Signature of the applicant
| Introduced byName and signature of the existing Member | RemarksSecretary President
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