Application Form for Membership

Regd. No S/1L/44220 of 2007-08. (WB Societies Registration Act. 1961)

37/3 Joyrampur Jala Road, Behala, Kolkata – 700060
Working Office: 15 Sisir Bagan Road, Gurumandir, Kolkata – 700034
Gmail: baashwas@gmail.com

Name

Address

Gender

Male Female

Marital Status

Married Unmarried

Blood Group

Father’s / Mother’s / Husband’s Name

Age as on the date of Application

Date of Birth

Phone No

Whatsapp No

Affix Your Photograph

Membership with any other Organisation

Yes No

If yes, give details

IMPORTANT INFORMATION

All communications regarding membership should be sent to the Secretary, Aashwas Behala, Society, preferably by E-mail (baashwas@gmail.com) or by post
Address: GURUMANDIR, 15 Sisir Bagan Road Kolkata – 6700034.
Membership Fee Indian Citizen: ₹2400/- per year.
One time registration fee Rs.100/-
Payment may be done by Cheque/DD drawn in favour of “AASHWAS BEHALA” payable at Kolkata.
Payments can be done through online to Aashwas Behala account as given below
1. Bank Account: 1. state Bank of India: Account No. 35210490950, IFSC: SBIN0001522.
2. Punjab National Bank: Account No. 0086014962513, IFSC PUNB0008620.
3. Indian Bank: Account No. 730417648, IFSC IDIB 000H007.

In case of online transfer, Aashwas Behala Office should be provided with the relevant reference number, including the acknowledgement issued by the bank through which the transfer was made. Bank charges, if any, for online payment should be borne by the applicants

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