Vetern Sailors' Forum (Vsf) Membership Form

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VETERN SAILORS’ FORUM (VSF)
MEMBERSHIP FORM
I hereby request that I may please be made member* of the Veteran Sailors’ Forum (VSF). As a member I will
abide by the Rules & regulations of the VSF. My particulars are as follows:-
(a)
Name (
)............................................................Widow of (
)...................................
BLOCK letters
if applicable
(b)
Ex-Rank............................................. Branch ...............................
DOB
.....................................
(c)
Service no............................................Last Unit.......................................................................................
(d)
Date of Retirement............................ PPO No* ........................................dated.....................................
(e)
Total Service........................................Marital Status...............................................................................
(f)
Zila Sainik Board Regn no....................................................Registered at................................................
(g)
Reason for discharge from Navy*.............................................................(
Enclose copy of ‘Service particulars’ from
your Discharge Book)
(h)
Address for Correspondence :
H.No..................................................................Street /P.O. ..........................................................................
Village/Colony........................................................District.............................................................................
State.......................................................................PIN Code..........................................................................
(i)
Permanent Address :
H.No....................................................................Street/P.O...........................................................................
Village/Colony...................................................................District...................................................................
State.......................................................................PIN Code...........................................................................
Phone no (
)................................................Mobile No..........................................................................
Land line
(k) E- Mail ID.......................................................................
(l) NOK's Name.............................................................Relationship................................................................
(m) Particulars of Children
Name
Date of Birth
Relationship
Occupation
1. ......................................................................................................................................................................................
2. ......................................................................................................................................................................................
3. ......................................................................................................................................................................................
* If Children are studying, please specify Class/Course
(n) Details of Present Job
(j)
Present Employer ................................................. Designation............................................................................
(k)
(ii) Job Location..................................................... Web site of Employer ...........................................................

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