Member registration of WBPDCL

ENGINEERS' WELFARE FORUM,WBPDCL
(Application Form for Membership)

NAME:

MIS NO:

MALE:

   

FEMALE:

 

PASSWORD:

RETYPE PASSWORD:

DESIGNATION:

POSTED AT:

MEMBERSHIP TYPE:

(M:Member, LM:Life Member, HM: Honorary Member)

BASIC QUALIFICATION:

OTHER QUALIFICATIONS:

PRESENT ADDRESS:

PERMANENT ADDRESS:

MOBILE NO:

E-MAIL:

AMOUNT:

DATE:

DATE OF BIRTH:

BLOOD GROUP:

I ACCEPT

TERMS AND CONDITIONS:

1) Mere filling up membership application form does not give confirmation to become a member of EWF, WBPDCL. It depends on the sole discretion of central executive committee.

2) Member must abide all the decisions taken by the central/regional executive committee.

© 2013 Engineers Welfare Forum, WBPDCL :: Designed and Maintained by WBPDCL EWF Team