SANCHAR NIGAM EXECUTIVES’ ASSOCIATION 

…………………………………….BRANCH 
MEMBERSHIP ENROLLMENT FORM 

To 
The …………………………….Secretary, 
SNEA
…………………………..Branch 


I working as…………………………………….. in ……………………. SSA 
do hereby request to enroll me as the member of Sanchar Nigam Executives’ 
Association, ………………………………….Branch. 

1. 
Name : 
2. 
HRMS No. : 
3. 
Date of Birth : 
4. 
Designation : 
5. 
Unit of Posting : 
6. 
Date of joining in SSA : 
7. 
Date of joining in the : 
present post held 
8. 
Present Address : 
9. 
Permanent Address : 
10. Phone no. 
: (Off) (Res) 
(Cell ) 
Signature of the Applicant 

…………………….Treasurer 
…………………….Secretary