Must Membership Form
   
Name  
Middle Name  
Surname  
Mobile Number  
Email  
Designation  
Subject  
Residence Address  
Office Address  
Date of Appointment  
Length of Service : Month  Year
   
  I hereby give my consent to become the YEARLY/LIFETIME Member and will pay
Amount in Rupees  Via following means [Rs 100.00 Yearly Rs 1000.00 Lifetime]
Mode of Payment  
A/c Name : Maharashtra's Union of Secular Teachers
Bank Name :  Union Bank of India
A/c Number : 317302010756594
NEFT / IFSC Number : UBIN0531731
MICR Code : 400026033
Application Submitted on date