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Please keep your PHOTO in PNG, JPG or JPEG file ready to upload
Fileds marked with ** are required ones. If you do not have HRMS number, type NA

1. Name of the officer **
2. HRMS number **
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 **
8. Email ID **
9. Telephone Number STD Phone Number
Office
Residence
Mobile **
10. Residential Address
Door/Flat No.
Plot No. **
Street **
Area/Locality **
City/Town **
PIN Code **
11. Permanent Address
Door/Flat No.
Plot No.
Street
Area/Locality
City/Town
PIN Code
12. Amount remitted One time for Life period (Rs.3,000/-)
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
13. Station **
14. Upload your Photo (JPG, JPEG OR PNG only) **