Membership

KARNATAKA STATE GOVERNMENT FIRST GRADE COLLEGE SC-ST TEACHERS ASSOCIATION (R)

Regd. No. SOR/GNR/229/2014-15

MEMBERSHIP REGISTRATION FORM

    Name of the Teacher (In Capital Letters) Designation Educational Qualification Date of Birth Date of entry in to the Service Date of Retirement KGID Number Parents / Guardians Name Mobile Number Email Address Present College Full Address with Pincode. Full Address for Communication with Pincode Permanent Address with Pincode Blood Group I , Mr./Miss./Prof./Dr. this is to certify that, the above information I have provided true and best of my knowledge. Upload passport size photo (Size: Less than 200KB JPEG Format) ______________________________________________________________ Upload Signature (Size: Less than 200KB JPEG Format)

    To make an online payment of ₹2000 using a QR code

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    I Agreed, terms and conditions, rules and regulations laid down by association.
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    Bank Details
    ACCOUNT NO : 1035111020000221
    IFSC CODE : KSCBO001035
    NAME: Karnataka State Government First Grade College SC/ST Teachers Association