Individual

Member Category :(Please select association only if your Association is affiliated)

Member ID

Personal Information
Name(*)	Date of Birth(*)
Mobile Number(*)	Email(*)
Correspondence Address(*)	Aadhar Number(*)
Next of Kin(*)	Relationship(*)

Defense Service Information
Service(*):
Rank(*)	Ser No.(*)
Date of Enrollment(*)	Date of Retirement(*)
EXSM ID No(*)	Issued By(*)

PSU Service Information
PSU Name(*)	Location(*)
Date of Joining(*)	Designation(*)

Life Membership Amount Rs Only

Photo(*)(Size<200kb)

I do hereby certify that the above information is true and correct to the best of my knowledge. I also hereby undertake to abide by the AIFEPSEs' bylaws if enrolled as a Member.

Share this: