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									                              FACULTY ASSOCIATION OF

         NATIONAL INSTITUTE OF TECHNOLOGY TIRUCHIRAPALLI (FANITT)

                              N.I.T, TIRUCHIRAPALLI-15

                                   Details of the member

1. Name (BLOCK LETTER)


2. Staff number


3. Designation


4. Department


5. Residential Address


6.Telephone Numbers                          office                 mobile
                                             residential
7. E-mail                                    NITT mail              others


8. Blood Group


9. Date of Birth


10. Date of Joining NITT(RECT)




      As a member of FANITT, I will abide by the by-laws of the association and will extend
my whole hearted support to the association and its activities.

Station: Tiruchirappalli-15

Date :                                                               SIGNATURE
                Requisition for Deducting Monthly Subscription to FANITT


From




To
The Director
National institute of technology
Tiruchirapalli-620015
Forwarded through Secretary FANITT:
Dear Sir,
                I request you to deduct a sum of Rs.100/- (Rupees one hundred
only) per month from my salary towards the monthly subscription of Faculty Association of
National Institute of Technology; Tiruchirapalli-15 (FANITT) and the same may please be
credited to the savings bank account of FANITT. The deduction may please be effected from the
month of ____________________.


Thanking you


                                                                               Yours sincerely


                                                                       Signature
                                                                       Name:
                                                                       Staff no:
Station: NIT, Tiruchirappalli-15
Date:

								
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