RRCAT Staff Club Associate Membership Form (for retired employees)

RRCAT STAFF CLUB

Retired Employees - Associate Membership Form

Pensioner No. (last 6 digits)*

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Old CC No.*

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Name*

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Designation on retirement date*

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Gender*

Male

Female

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Email Address*

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Mobile No.*

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Residential Address*

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Notes:

Please pay the applicable fees (Rs. 720/-) directly to RRCAT Staff Club bank account as per below QR code (UPI ID catstaffclub@sbi) or with following account details. Please note that only online payments are accepted.

Account Details

Account Number 10076261018

IFSC Code SBIN0008484

Branch Sukhniwas Branch

Bank State Bank of India

Upload payment screenshot along with UTR/Ref no. and payment date.

Kindly check Account/UPI details before payment. Fees once paid will not be refunded.

UTR/Ref No.

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Payment Date

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Terms & Conditions*

I understand that this membership is essential for using all the club facilities and participating in the club activities. I shall pay separately for the activities of RRCAT Staff Club as decided by respective Activity Committees. I also understand that the membership is on yearly basis and I need to renew my membership every year by paying prescribed yearly membership fees in advance.

You must Agree to the Terms and Conditions to become a member.

Status

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Valid Till

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Receipt No.

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Account Details
Account Number	10076261018
IFSC Code	SBIN0008484
Branch	Sukhniwas Branch
Bank	State Bank of India