Join Us

1. Name *

2. Address *

3. Organization District / Division *
-- Select --BongaigaonDibrugarhJorhatKamrupNagaonSilcharTezpur
4. Mobile No. *

5. Email *

6. PPO No *

7. Designation on Retirement*
-- Select --PPSPSPAJTOSDESr. SDEAGMDGMEESEJAOAOSr. AOCAODGM(Fin)
8. Retirement From *
BSNLDoT
9. Retirement through *
-- Select --VRSNormal Way
10. Circle from Which Retired *

11. Circle of Current Stay *

12. Upload Signature ( jpg/jpeg/png; max size 512 KB)*

132. Upload Photograph (jpg/jpeg/png; max size 1 MB) *


14. Declaration: I hereby request to be enrolled as a member of the SANCHAR NIGAM PENSIONERS’ WELFARE ASSOCIATION, on my own free will and volition. I, hereby, undertake to abide by the Constitution of SNPWA in all matters connected with Pensioners' Association activities. I shall submit the admission fee of Rs. 50 and onetime membership fee of Rs. 1000 to SNPWA Assam. I understand that my membership status will be active after I make the above fee.
I have read and agreed to the declaration