THE MAURITIUS CIVIL SERVICE MUTUAL AID ASSOCIAITON LTD.

  
MEMBERSHIP FORM
     
SURNAME (Mr/Mr/Miss): ............................................................................................................  
NAME                    : .............................................................................................................  
MAIDEN NAME   : ........................................... ....... ........ 
NID NO :
                           
 
ORGANISATION / DEPT : ................................................................................................................
POST HELD  :       ....................................            FIRST APPOINTMENT DATE
           
GROSS SALARY Rs
           
    PAY SITE CODE
             
BANK NAME :      ...................................       BRANCH : ................................................................  
BANK A/C NO
                           
 
TEL NO (RES)  ...................................   TEL NO (OFF)  ...................................  
 
ADDRESS :           ...............................................................................................................................
  
                              ...............................................................................................................................  
NAME OF BENEFICIARY (In case of death) : .............................................................................  
.......................................................................................................................................................  
     

I also wish to join the Mutual Aid Retirement Savings Fund and hereby tender the sum of Rs ……………. representing my first contribution. I authorize the Association to deduct from my salary a sum of Rs……………….. monthly as contribution to the Fund with effect from …………………….. .

  
DATE OF APPLICATION : ... .... / ... .... / ... .... SIGN. OF APPLICANT:  ...................................
 

OFFICE USE - RECEPTION
I certify that the above particulars have been filled in properly and verified with all relevant documents and have been input.
RSF NO. .............................
CUSTOMER CODE
           
INPUT ON .……/……./……..  
SIGNATURE: ..........................                                        DATE : .……/……./……..
   
CASHIER
COUNTER NO. ................................ DATE : .……/……./……..
VOUCHER NO. ............................... SIGNATURE: .....................