IGNOU Employees Thrift & Credit Co-operative Society Ltd.

APPLICATION FORM

ODL ID *

Full Name *

Email Address

Designation *

Division *

Password *

Confirm Password *

Guardian's Name *

Date of Retirement** *

Basic Pay (₹) *

PAN Number *

Bank Account Number *

IFSC Code

Contact Number *

Alternate Contact Number

Nominee's Name

Relation with Nominee

Local Address *

Permanent Address *

Office Address

Nominee's Address

Cancel

I undertake to abide by the rules and by‑laws of the Society.
I authorize ICS to recover any dues of the Society along with interest from my salary/leave salary or any other payable dues on demand.
I understand that this undertaking is irrevocable.

I have read and understood the instructions.