Know Your Membership Form

Know Your Membership Form

Personal Information

Gender : MaleFemale

Parmanent Address

Temporary Address

Contact Address

Extra Information

Resident Type :

Family Details

Marital Status : MarriedUnmarriedDivorced/Others

Family Type Status :

NamePhone/Mobile AgeDate of Birth
1 .
2 .
3 .
4 .

Professional Details

Other earning person in family except self and spouse

If self or other member of family is in high ranking post in politics, administration or organization : YesNo


Income Source Details

If the annual Income of family is more than 4 lakhs, the latest Fiscal Year income and it's source should be included


Financial Transaction Details

Business Details

Firm/Company Address


Cooperative Membership Details

Membership in other Coopertives : YesNo

If yes, give details


Name
Membership No
1 .

2 .

3 .

If other family member have got the membership of the other cooperatives : YesNo

If yes, give details

S.N
Name, Surname
Relation
Cooperative Name, Address
Membership No

1 .

2 .

3 .

If you have got the membership of more than one cooperative , give reason

If other family member have got the membership of more than one coopertive, give reason

Whether other member of your family got membership in this cooperative or not : YesNo

If yes, give details

S.N
Name, Surname
Membership No.

1 .

2 .

3 .

Nominee

I maintaining Membership No : at China Trade Multipurpose Co-operative Ltd., hereby given details of the nominee to receive any sum of amount which may be due to me from China Trade Multipurpose Co-operative Ltd. in the event of my death.

If the above mention information change due to any reason, I will inform within 35 days of such changes. All the above mention informtion is coreect and true, if false I am ready to face the legal actions.

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