Zenith Services
8, P.C. Banerjee Road, Kolkata – 700076.
JOINING APPLICATION FORM
Online/Offline Survey Application
Form
Please select online or offline.
(Registration Fee = Rs. 2500/-)
Name: …………………………………………………………………………
Father’s Name: ……………………………………………………………
Address:
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Gender: ………………………………………………………………..
Date of Birth: ……………………………………………………………..
Zenith Services
8, P.C. Banerjee Road, Kolkata – 700076.
Phone No. ………………………………………………………………….
Mobile No. …………………………………………………………………
Email-Id: …………………………………………………………………
You can take 20 A/c in your single name.
Name:
……………………………………………………………………………………
No. of Account 1× ………………………………=………………………
Your Bank A/c Details
Bank Name: …………………………………………………………………
Branch: ……………………………………………………
Account No. -
………………………………………………………………………………….
I want to take my monthly payment by:
At per cheque
Demand Draft
Money Order
Online Fund transfer to my A/c
Your Registration Fee Amount Details:
Zenith Services
8, P.C. Banerjee Road, Kolkata – 700076.
D/D No. …………………................. Date: ……………………………
Bank Name: ………………………………………………………………….
(For Bank Deposit, please Attach Bank Deposit Slip)
Signature of the
Candidate
……………………………
For office use
Allotted Id No. …………………………………………………………..
Date: ……………………………………………………………………….