Branch for Rs..on.. towards admission fees.

Date:.. Clerk/Sub Staff/Driver/PTE: Staff No: tal Amount to be Payable for Admission. Clerical : Rs.120/= Through Com Branch Secretary/ ECM Sub-Staff : P.T.Emp. : Rs.85/= Rs.30/= The General Secretary, The Lakshmi Vilas Bank Employees Union, No.10 Station View Road, Kodambakkam, Chennai-600 024. Dear Comrade, ENROLMENT OF NEW MEMBER I Enclosed herewith my Application Form requesting you to admit me as a member of our Union. Kindly accept and enroll me as a Member of our Union. Connectively, I have credited our Union Account No.362.301.413 with our Karur Main Branch for Rs..on.. towards admission fees. Kindly do the needful. Comradely Yours, (..)

THE LAKSHMI VILAS BANK EMPLOYEES UNION (Regd.No.2909) KARUR MEMBERSHIP FORM I.Son/Daughter of Sri.working as a Clerk/Sub-Staff/Driver/PTE in Lakshmi Vilas Bank s..branch hereby apply for Admission as a Member of The Lakshmi Vilas Bank Employees Union. I request you to enroll me as a member of the Union. Connectively, I remitted herewith Rs.5/= towards admission fee and *Rs.75/= / Rs.40/= / Rs.15/= (tick which is applicable) being the Subscription for the month of. and agree to pay the same, at the above rate, every month, till such time it is modified by the Union. I have read the rules and bye-laws of the Union and agree to abide by them as amended from time to time. I further declare that I am not a member of any other Union. Comradely Yours (Signature of the Member) ATTESTED: Branch Secretary/ECM. ---------------------------------- OFFICE NOTE----------------------------------------- Clerical : Rs.75/=pm Admitted on: Sub-Staff : Rs.40/=pm P.T.Employees : Rs.15/=pm General Secretary.

APPLICATION FORM FOR JOINING IN MEMBERS SECURITY AND SERVICE FUND.. The General Secretary, The Lakshmi Vilas Bank Employees Union, No.10 Station View Road, Kodambakkam, Chennai-600 024. Dear Comrade, Please enroll me as a member of the Members Security and Service Fund sponsored by our Union. Viz. The Lakshmi Vilas Bank Employees Union. Connectively, I remitted herewith Rs.40/= / Rs.10/= (tick which is applicable) towards subscription for the month of.and agree to pay the same, at the above rate, every month, till such time it is modified by the Union. I have read the rules and the regulations governing the funds and agree to abide by them as amended from time to time. Full Name (in block letters) : Father s Name : Date of Birth : Designation in the Bank : Staff No : Date of Probation : Office Address : Residential Address (Native) : I hereby nominate. as my nominee for the purpose of the Fund. The nominee is my.. Comradely yours Place: Attested: Branch Secretary/ECM (Signature of the member) ---------------------------------- OFFICE NOTE----------------------------------------- Clerical & Sub Staff : Rs.40/=pm Admitted on: P.T.Employee : Rs.10/=pm General Secretary.

( be returned in duplicate) MANDATE FORM (Staff No: ). Clerk/Sub-Staff/Driver/PTE The Lakshmi Vilas Bank Ltd...Branch. The Managing Director & CEO The Lakshmi Vilas Bank Ltd., Corporate Office, Guindy, Chennai-600 032. Dear Sir, I request your goodselves to deduct from my salary Rs.75/= / Rs.40/= / Rs.15/= as my monthly Union Subscription and any other levies, subscriptions etc., imposed by The Lakshmi Vilas Bank Employees Union (Regd.No.2909) commencing from the month of The amount so deducted from time to time may please be transferred to the Savings Bank Account of The Lakshmi Vilas Bank Employees Union (Regd No.2909) A/c No. 362.301.413 with our Karur Main Branch. Yours faithfully ( )