MEMBERSHIP APPLICATION FORM Undertaking to abide by the stipulation of the CONSTITUTION & CODE OF CONDUCT of the Association, I do hereby submit my request (along with desired personal details) for being enrolled as a member: Employee Name Employee Number Father's Name Designation Date of Birth D.O.J. at Singrauli D.O.J. in NTPC Local Address Permanent Address Email ID Mobile Number APEX Membership Fee deduction starting Month ---JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember Attach Membership form duly signed by employee Authorization by Employee: I hereby authorize Finance department to deduct one time recovery of Rs. 50/- (Rs. Fifty only), as the Enrolment Fee of the Executive Association from my salary and regular monthly recovery Rs. 50/- (Rs. Fifty only) per month against the Monthly Subscription of the Executive association.