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Dependant Details
Member Account
Member Category:
Permanent Local
Foreign
Account Number:
Father's/Parent's Membership Code:
Title:
First Name:
Middle Name:
Last Name:
Gender:
Male
Female
Date Of Birth
Profession:
Designation:
Conversion Date
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Valid Till:
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Pincode:
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Permanent Address:
Company:
Marital Status:
Spouse Name:
Dependants:
Office Address:
Mobile:
Phone(+extension):
Email:
Alternate Email:
GSTIN/UIN:
GSTIN Effective Date:
GSTIN/UIN Legal Name:
Member Effective From:
Status:
Inactive
Active
KYC Status:
Inactive
Active
Handicap Status:
No
Yes
Member Control A/c:
Control Account
NA
Name Change Date:
Name Change Reason:
Description:
Remarks:
Member Details
Member's Acc No:
Mother's Name:
Nominee:
Nominee Relation:
PAN :
Passport:
IT Tax Paid Receipt:
Nationality :
Permit No:
Permit Date:
Card Issue Date :
Blood Group:
Educational Q.:
Vehicle Number :
Anniversary Date:
Annual Income:
Aadhar Number :
Reference Number:
Source Type:
NA
Subscription:
Member
Dependant
Parent
Zero Subscription Rights
Annual Subscription Rights(Default Monthly)
Subscription Charges:
Member Document :
×
Invoice Through:
Soft Copy
Hard Copy
Both
Circular Through:
Soft Copy
Hard Copy
Both
Notifications:
Email Notifications
Mobile Notifications
Credit Check :
Credit Check Required
Credit Check Limit :
Senior Citizen:
Select
No
Yes
Dependant:
Select
No
Yes
Locker Status:
Select
No
Yes
Flat Details:
Flat Occupant
Is Abroad Member?
Flat Number :
Tenant Status:
Tenant
Owner
Liquor Permit Details:
Member Permit No:
Spouse Permit No:
Member Permit Expiry:
Spouse Permit Expiry:
Payment Details
Member's Acc No:
Proposer A/c No.
Proposer's Name
No. of Years
1st seconder A/c No.
2nd seconder A/c No.
Payment Options
Sports Fund Life Time?
Late Conversion
Deposit Amount :
Yearly/Monthly Subscription Fee
Mode of Payment
Cash
Cheque
Card
Online/Neft
Receipt No:
Receipt date:
Interview date:
Entry Fees:
Entry Fees Date:
Entry Fees Receipt No:
Building and Develop Fund:
Refund Amount:
Conversion Fees:
Member account OB:
Opt EC s
Bank Details:
Bank Code(IFSC):
Branch:
Account Type:
Select
Current
Saving
Account No:
Dependant Details
Add Dependant
Member's Acc No:
Dependent Information
Salutation:
Marital status:
Relation:
Child
Spouse
Member's Acc No:
Sex
Male
Female
Date Of Birth:
Dependant Name:
Dependant Last Name:
Dependant Account No:
Profession:
Designation:
Company:
XXX
YYY
Residential Address:
Office Address:
CountryR:
CountryO:
StateR:
StateO:
CityR:
CityO:
PincodeR:
PincodeO:
Residential Phone Number:
Office Tel Number:
Mobile Number:
Fax Number:
Application Number:
Email:
Adhar Number:
Nationality:
Blood Group:
Age:
Bill Address
Resident
Office
Status:
Select
Active
Inactive
Is Joint?
Senior Citizen
Is Handicap?
Expiry date:
Inactive Reason:
Active
Inactive
Remarks:
Photo:
Dependant Notes
Department:
ALL
1
2
Note:
Dependent Information
Salutation:
Marital status:
Relation:
Child
Spouse
Member's Acc No:
ID:
Sex
Male
Female
Date Of Birth:
Dependant Name:
Dependant Last Name:
Dependant Account No:
Profession:
Designation:
Company:
XXX
YYY
Residential Address:
Office Address:
CountryR:
CountryO:
StateR:
StateO:
CityR:
CityO:
PincodeR:
PincodeO:
Residential Phone Number:
Office Tel Number:
Mobile Number:
Fax Number:
Application Number:
Email:
Adhar Number:
Nationality:
Blood Group:
Age:
Bill Address
Resident
Office
Status:
Select
Active
Inactive
Is Joint?
Senior Citizen
Is Handicap?
Expiry date:
Inactive Reason:
Active
Inactive
Remarks:
Photo:
Dependant Notes
Department:
ALL
1
2
Note:
No.
Relation
Salutation
Dep Acc No.
Name
DOB
Expiry Date
Marital Status
Age
Remarks
Operations
Member Subscription Charges
Subscription Name
Dependent Acc No.
Dependent Name
Charge
No of Subs
Total
Start Date
End Date
Status
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