BECOME A MEMBER

SECTION A : PERSONAL INFORMATION

Mr/Mrs/Ms *

Father Name (s) *

Aadhaar Card No *

Date Of Birth *//

Gender *
M
F

Blood Group *

New member *
Yes
No

Attach a Photo *

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Upload Aadhaar *

Click or drag files to this area to upload. You can upload up to 2 files.

Known Executive Member Name* *

SECTION B : CONTACT DETAILS

Cell.No *

Tell.No (Home) *

Email *

Postal Code *

State *

A Reliable Address is needed to forward your membership card to you

SECTION C : DETAILS OF YOUR EMPLOMENT

Employer / Company / Others *

Department *

Postal Address of Employer *

Staff No *

Total Work Experience *

Postal Code *

SECTION D : DECLARATION

I, the undersigned hereby join the DIGITAL INTERMEDIATE, VISUAL EFFECTS & GAMING ASSOCIATION (DIVA) . As a member ,I hereby State Address Blood Group ve DIVA SOUTH INDIAN MEDIA POST PRODUCTION ASSOCIATION

1. Request that you deduct my remuneration , in respect of subscriptions to the Union an amount equivalent to 1% of my weekly / monthly remuneration , to the maximum of rupees 100 per month or whichever amount the Central Executive Commitee might decide on from time to time.

2. Request that in the event of a decision by Union in terms of it’s Constitution , increasing the amount or imposing a levy, that such amount or levy be deducted from my remuneration.

3. Hereby revoke any previous authorization for deductions on behalf of any other union or organisation.

4. Undertake that I shall give 6 (six) week’s notice of resignation to the above union before revoking this authorization ,and that I shall duly inform my payroll office thereto.

Date *

Account Name: DIVA
Account No: 50100623870538
IFSC Code: HDFC0005419
KK NAGAR

BECOME A MEMBER

BECOME A MEMBER

APPLY ONLINE

REGN NO: SRG/CS/136/2023