Bhailal Amin IMA Hall, Salatwada, Vadodara 390 001. M

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Bhailal Amin IMA Hall, Salatwada, Vadodara 390 001. M - +91 7984441521

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I, the undersigned, Here by, express my desire to be a member of your Society and request you to issue Shares in my name. I shall not raise any objection, incase am allotted shares less than the number applied for, or my application is rejected in toto. I have read the Co-operative laws and bylaws of the society. They are acceptable to me and shall abide by the bylaws & resolutions as and when they are in force. *

I agree

Full name (Surname - First Name - Middle Name) *

Gender *

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Female

Not want to disclose

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Address for Correspondence (with Pincode ) *

Occupation *

Office Address *

Contact Number for correspondence *

My monthly incomes is (Rs. & in worlds) *

I am a members of the followings co-operative credit societies

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