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Share Application Form

This document is a share application form for Mudra Agriculture & Skill Development Multi State Co-op Society Ltd. It requests information such as the applicant's name, address, contact details, demographic information, bank account details, share amount deposited, and nominee details. The applicant agrees to abide by the society's rules and bylaws. The form is to be used by the office to record share allotment details and the membership application decision.

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Krishna Chaitanya Samudrala
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1K views2 pages

Share Application Form

This document is a share application form for Mudra Agriculture & Skill Development Multi State Co-op Society Ltd. It requests information such as the applicant's name, address, contact details, demographic information, bank account details, share amount deposited, and nominee details. The applicant agrees to abide by the society's rules and bylaws. The form is to be used by the office to record share allotment details and the membership application decision.

Uploaded by

Krishna Chaitanya Samudrala
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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MUDRA AGRICULTURE & SKILL DEVELOPMENT

MULTI STATE CO-OP. SOCIETY LTD.


(Regd.No.MSCS/CR/1273/2017)
Regd. Off : 15/A, 3-4-757/22, APHB Building Near Raghavendra Swamy Temple,
Opp.Telangana Grameena Bank, Barkatpura, Hyd - 27.
Central Off : 2-1-477, Lower Ground Floor, Prateek Towers, Opp.Post Office, Near SBH,
Main Road, Nallakunta, Hyd. - 44. Phone : 040 - 27675565

SHARE APPLICATION FORM

Application No.: ...........................Membership No. ......................... Account No. : ..........................

1. Name of Applicant
2. Father’s /Husband’s Name
3. Full Postal Address
(With Pin Code)

4. Phone Number with STD Code

5. Mobile Number

6. E-mail ID

7. Age & Date of Birth

8. Occupation

9. Religion

10. Parish/Locality

11. State

12. Mandal

13. Village

14. Pan Card

15. Aadhar Card

16. Share Amount Deposited

Rs. :...............................

In Words : ....................................................................................................

Mode of Payment Cash:

(Tick the Appropriate Box) Cheque :


Bank Name : ..........................
Cheque Number : ............................................. Cheque Date : ..................

Bank Deposit :
Name of bank : ....................................
Name of branch : ..................................
17. Details of Nominee

a Name

b Relationship

c Full Postal Address


(With Pin code)

18. Details of existing Bank Account

a Name as in the Passbook

b Account Number

c Name of the Bank

d Name of the Branch

I agree to be a member of the Society subject to the rules and regulations of the approved bylaws of
the Society and future amendments to the same.

Place : Signature of the Applicant

Date :

FOR OFFICE USE ONLY

Received Rs. (Rupees ....................................................................

...........................................................................................................................................................)

Nember of Shares allotted

Shares may be allotted subject to the bylaws of the Society and MSCS Act 2002.

Administrative Officer Branch Manager/Branch Incharge

Decision of the Board : Membership granted / Not granted

Membership Number : Date of membership

Signature of Manager ........................................... Date : ....................................

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