promoting govt/NGO ads

SHG Membership Form

 

SHG Membership Form                        Member No:

(Promoter NGO: Sevajothi Trust)

I.Personal Details:

Name: (Mr/Mrs/Miss) _______________________________________________________

Father/Husband Name: _____________________________________________________

Complete Address: _________________________________________________________

_______________________________________________Pin Code: ____________________

District: _______________________________ State: ______________________________

Mobile No. __________________________ Phone No: ____________________________

Email: ______________________________ Website: ______________________________

Blood Group: _______________________ Date of Birth: ________________________

Education: ________________________ Technical Skill: ________________________

Occupation: _____________________________ Other Skill: ______________________

Community: _______________________ Languages Known: ____________________

II.KYC Details:

Bank A/C No. _____________________________ IFSC No: _______________________

Voters ID No. _______________________ Driving Lic No: _______________________

PAN No. _________________________ Aadhaar No: _____________________________

Monthly Income__________________Hobbies: _________________________________

III. Nominee Details:

Nominee Name: ______________________________ Mobile No: __________________

Relationship: _________________________ Aadhaar No: ________________________

Pledge:

1.      I am not a defaulter of any Bank/SHG loans.

2.      I assure to follow all the rules and regulations put forth by government /SHG/NGO

Date: ____________________

Place:____________________                                                      Signature

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