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Chit Application

This document is an application form for enrollment in a chit fund operated by Mysore Sales International Limited. [1] It requests information such as the applicant's personal details, including name, age, address, occupation, income sources and references. [2] The applicant is asked to provide consent to abide by the rules of the chit fund and make the first installment payment. [3] Key details about the chit fund like the chit number, installment amount and total chit amount are also noted.

Uploaded by

Puja Jain
Copyright
© Attribution Non-Commercial (BY-NC)
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Download as DOC, PDF, TXT or read online on Scribd
308 views

Chit Application

This document is an application form for enrollment in a chit fund operated by Mysore Sales International Limited. [1] It requests information such as the applicant's personal details, including name, age, address, occupation, income sources and references. [2] The applicant is asked to provide consent to abide by the rules of the chit fund and make the first installment payment. [3] Key details about the chit fund like the chit number, installment amount and total chit amount are also noted.

Uploaded by

Puja Jain
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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MYSORE SALES INTERNATIONAL LIMITED

(CHIT FUNDS DIVISION) MSIL HOUSE, 36, CUNNINGHAM ROAD, BANGALORE-560052 Phone No: 22250173, 22250169 FAX No.: 22250168 EMAIL: [email protected]. Branch: --------------------------------------------------------

APPLICATION FOR ENOROLMENT


Chit No. Instalment Amount Rs. Chit Amount Rs. Foremans Commission Rs. Photo with signature of the applicant across the Photo

1. 2. 3. 4.

Full Name (Mr/Mrs/Ms) (In block letters) Age & Date of Birth Fathers Name a) Marital Status b) If married, spouse`s Name : Educational Qualification(s) Permanent Address With pin code Telephone /Mobile No. (Address proof has to be enclosed) Present Residential Address with Pin code Telephone/mobile no.

: : : : Married/Unmarried

(Male/Female)

5. 6.

: :

7.

8.

a) Occupation b) Designation

: : :

9.

Business / Office Address along with telephone no./ E-mail a) Income (monthly) Rs. b) Source of Income:

10.

: Salary Agriculture Business Profession

11.

a) Name & Address of Nominee(s): 1) 2) b) Relationship c) Share of each : : Chit No.: Subscriber No.

12.

Chits if any held currently DECLARATION

I do solemnly affirm and state that the particulars furnished above, are true and correct to the best of my knowledge and belief. I have fully read or caused to be read translated and thoroughly understood the rules of the chit and if I am allotted a Ticket in the chit requested for, I do hereby agree to be bound and abide by all the terms and conditions. I am remitting Rs .. (Rupees .only) By Cash /DD/Cheque (In favour of MSIL) being the first installment towards the above Chit group.

Name and address and phone number of references Name Address: Phone No: Place: Date: 1) 2)

Signature of the Applicant

FOR OFFICE USE Verified & enrolled by Chit No: Subscriber No:

Date:

signature of the Foreman

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