SSTA

जय भीम जय भारत

Reg. No. 06/09/01/12703

SC/ST TEACHER'S ASSOCIATION (SSTA)

TA 

DR. HARI SINGH GOUR VISHWAVIDYALAYA (A CENTRAL UNIVERSITY) SAGAR, M.P.

Email-ssta.dhsgsu@gmail.com

Office - Rajrani Bhavan, Tilakganj Sagar (M.P.)

Membership Form

1. Name (in English) (in Hindi)

2. Father's Name

3. Designation

4. Department

5. Date of birth

6. Date of Appointment

7. Mailing Address

8. Mobile Numbers (Whatsapp) (other)

9. E-mail

10. Membership Fee paid

Photo

Category of member.

The members of the society shall be of following categories:

(a) Patron Member The person who will donate Rs. 10000/- or more at a time or in 12 instalments within a year will be patron member.

(b) Life member - The person who will pay Rs. 5000/-or more will be life member.

(c) Ordinary Member The person who will pay Rs. 50/month or Rs. 500/year will be ordinary member. Ordinary membership will be valid only for the period for which contribution is paid.

(d) Unpaid member The executive committee can give unpaid membership to any person(s). Such member can participate in annual general body meeting of the society but cannot vote.

I hereby declare that all the statements made in the membership form are true and complete to the best of my knowledge and belief. I will support my best to fulfil the objectives of Association.

Date:

Name & Designation of the member