State Bank of India Officers' Association

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State Bank of India Officers' Association (AHMEDABAD CIRCLE) (Registered Under Trade Unions Act-1926 Regd, No. G-5101) State Bank Building, 1 st Floor, Bhadra, P.B. No. 161, Ahmedabad-1. Tel.: 25507622, 25508662 Fax : 25506922 e-mail: sbioa.lhoahm@sbi.co.in The General Secretary, Satate Bank of India Officer's Association Ahmedabad-380001. Dear Sir, I am an official of the State Bank of India Branch / Dept I have read the Constitution and the bye-laws of the Association and agree to abide by the same. I remit herewith a sum of? 101/- (One Hundred One Only) being the Admission Fee. I have given the letter of authority to the bank for deduction of my subscription. Please enrol me as an ordinary member of the Association. In this connection, I assure that I shall neither act in anyway detrimental to the interest of the Association nor do any harm to the prestige of the Association. Place : Yours faithfully (Signature of the official) Full Name (Surname) (1st Name) (2nd Name) Designation Age Years Br/Dept. Residential Address Ph. (R) (O) (M) _ Office : Residence: Admitted in the Register of Members, Enrolled and Fees credited. President General Secretary Treasurer Computer No : _ Branch Deduction Letter : _ Cheque / Draft No. Index No. : _ Date Amount

State Bank of India Officers' Association (AHMEDABAD CIRCLE) (Registered Under Trade Unions Act-1926 Regd, No. G-5101) State Bank Building, 1 st Floor, Bhadra, P.B. No. 161, Ahmedabad-1. Tel.: 25507622, 25508662 Fax : 25506922 e-mail: sbioa.lhoahm@sbi.co.in MEMBER'S BIO DATA FORM E-mail ID: P.P. NO. Affix Your Latest Photograph Name (Surname) (1st Name) (2nd Name) Address : Ph. : (R) (O) (M) Married Unmarried Other Date of Joining in Bank Religion Date of Birth Education Qualifiacatins : Languages Known : Position regarding C A I I B : Place of Domicile : PROMOTED AS AT BRANCH / OFFICER OFFICER JMG I OFFICER'MMG II OFFICER MMG III OFFICER SMG IV OFFICER SMG V OFFICER TEG VI Probationary Officer Trainee Officer Date on Date on Date on Date on Date on Date on Date on Date on The particulars as stated above are correct and to the best of my knowledge Place : Signature (Name : )

NOMINATION FORM Member's Name : (in block capitals) Place : To, The General Secretary STATE BANK OF INDIA OFFICER'S ASSOCIATION (Ahmedabad Circle) Benevolent Fund, State Bank Building, 1st Floor, Ahmedabad-1. I hereby direct that amount payable from the Benevolent Fund in the event of my death shall be distributed among the members of my family mentioned below in the manner shown against their name : Name, Address and Phone / Mobile No. of the Nominees Relationship with the Member Age of the Nominee Manner of distribution 1. Ph. No. (M) 2. Ph. No. (M) 3. Ph. No. (M) Without prejudice to my right to cancel the nomination made by me whenever I think fit, I hereby give notice that in the event of the person / any of the persons nominated hereunder predeceasing me, this nomination shall forthwith stand cancelled in so far as it relates to the rights conferred upon such person/any of such persons. WITHNESS : 1) Signature Name Designation Address Yours faithfully Signature (Name : )

The Office / Branch Manager, STATE BANK OF INDIA Office / Branch Dear Sir, AUTHORISATION FOR DEDUCTION OF SUBSCRIPTION FROM THE MONTHLY SALARY AND ALLOWANCES I request you to deduct from my salary and allowances every month a sum of? 200- (Rupees Two Hundred Only) and Credit / remit the same to the current account of the State Bank fo India Officers' Assocation (Ahmedabad Circle) at Ahmedabad Main Branch of the Bank followed by advice from the Branch to SBIOA. I also authorise you to remit the subscription whenever raised by the SBIOA from time to time. The authorisation shall continue to be effective till I revoke the same. Any scuh revocation given during the year shall be effective from the month of January of succeeding year. For the benefit of our members, please find below the navigation for reigstering deduction through HRMS Login HRMS PORTAL Go to Employee self service Select monthly deduction Create third party deduction Give - start date - end date Deduction Type : 1001 union Deduction sub type 1630 Union / Associaiton Member Payment to O-U-1001 Give PF No. / Account No. SBIOA : Account No. 10542888006. For any query/information please contact-079-25507622 Yours faithfully, Signature Name : (In Block Letters) Designation P.P. No. M. (O) (R) The Office / Branch Manager, STATE BANK OF INDIA Office / Branch Dear Sir, AUTHORISATION FOR DEDUCTION OF SUBSCRIPTION FROM THE MONTHLY SALARY AND ALLOWANCES I request you to deduct from my salary and allowances every month a sum of? 200- (Rupees Two Hundred Only) and Credit / remit the same to the current account of the State Bank fo India Officers' Assocation (Ahmedabad Circle) at Ahmedabad Main Branch of the Bank followed by advice from the Branch to SBIOA. I also authorise you to remit the subscription whenever raised by the SBIOA from time to time. The authorisation shall continue to be effective till I revoke the same. Any scuh revocation given during the year shall be effective from the month of January of succeeding year. For the benefit of our members, please find below the navigation for reigstering deduction through HRMS Login HRMS PORTAL Go to Employee self service Select monthly deduction Create third party deduction Give - start date - end date Deduction Type : 1001 union Deduction sub type 1630 Union / Associaiton Member Payment to O-U-1001 Give PF No. / Account No. SBIOA : Account No. 10542888006. For any query/information please contact-079-25507622 Yours faithfully, Signature Name : (In Block Letters) Designation P.P. No. M. (O) (R)

State Bank of India Officers' Association (AHMEDABAD CIRCLE) (Registered Under Trade Unions Act-1926 Regd, No. G-5101) State Bank Building, 1 st Floor, Bhadra, P.B. No. 161, Ahmedabad-1. Tel.: 25507622, 25508662 Fax : 25506922 e-mail: sbioa.lhoahm@sbi.co.in WELFARE SCHEME APPLICATION FORM To, The General Secretary, SBI Officers' Association, State Bank Building, 1st Floor, P.B. No. 161, Bhadra, Ahmedabad. PF No. : E-mail ID : Signed Photograph From : Shri C/o. State Bank of India Membership No. I am a member of SBI Officers' Association (Ahmedabad Circle) * I request you to enrol me as member of the SBI Officers' Association's Welfare Scheme. I abide by the Rules and Regulations of the Scheme. * The requisite subscription of Rs. 2000/- towards my membership is enclosed Branch Cheque / Draft No., Date Rs Rupees _ My particulars are furnished below : 1) Name (in Block letters) (Surname) (1st Name) (Surname) 2) Present Residential Address Ph. : (M) : 3) Permanent Residential Address Ph. : (M) :

4) Marital Status : Married / Unmarried 5) Details of family members (if minor, please state date of birth) Name Relationship Age Dt. of Birth (1) (2) (3) (4) (5) NOMINATION : I nominate Shri / Smt. as my nominee. Name of the Nominee and address in Full Relationship with the Nominator Mobile No. : Phone : Date of birth of the Nominee (If minor) : Witness : 1) (Signature) (Name) 2) 3) (Signature of the member) Enrolled Shri as Member of the welfare Scheme For, SBI Officers' Association General Secretary