1. Name of the officer ** |
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2. HRMS number ** |
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3. PAN Number ** |
Please enter your PAN for 80-G purpose ---> |
4. Name as in your PAN ** |
Please enter NAME as in your PAN ---> |
5. Date of Birth ** |
Directly type date OR use Calendar ---> |
6. Date of appointment as JAO ** |
Directly type date OR use Calendar ---> |
7. Present Designation/Unit eg. RETD DGM TN ** |
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8. Email ID ** |
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9. Telephone Number |
STD |
Phone Number |
Office |
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Residence |
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Mobile ** |
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10. Residential Address |
Door/Flat No. |
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Plot No. ** |
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Street ** |
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Area/Locality ** |
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City/Town ** |
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PIN Code ** |
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11. Permanent Address |
Door/Flat No. |
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Plot No. |
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Street |
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Area/Locality |
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City/Town |
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PIN Code |
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12. Amount remitted
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One time for Life period (Rs.3,000/-)
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Amount may be remitted in the form of Cash/Cheque/Bank Transfer to the Bank account |
Punjab National Bank IFSC PUNB0034400, SAVINGS A/c No.0344000100933153 in the name of: TAMIL NADU TELECOM ACCOUNTS AND FINANCE OFFICERS WELFARE TRUST
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13. Station ** |
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14. Upload your Photo (JPG, JPEG OR PNG only) **
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