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CSD Form

This document is an application form for a Canteen Stores Department exclusive shop membership card for defense personnel and their families. It requests basic information like name, personal number, rank, unit, date of birth, previously issued cards, and signatures for authorization. Membership cards provide access to shop benefits and are issued with a photo for identification purposes. Spouse details are also collected if applying for a family card.

Uploaded by

Shahoriar Shehab
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
381 views

CSD Form

This document is an application form for a Canteen Stores Department exclusive shop membership card for defense personnel and their families. It requests basic information like name, personal number, rank, unit, date of birth, previously issued cards, and signatures for authorization. Membership cards provide access to shop benefits and are issued with a photo for identification purposes. Spouse details are also collected if applying for a family card.

Uploaded by

Shahoriar Shehab
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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€5D

ffi$D Canteen Stores Deparlment


EXCLUSIVE SHOP
APPLICATION FORM FOR MEMBER CARD
----------.:----

NAME OF THE APPLIGANT

Personal Number Rank

Attested Passpor[
Arms/Service/De pa rtrn e nt Un iUOrgan ization size Photo in
Ijniform for
defence personlel ,.

a,
Date of Retirement in Present Rank e
Date of Blrth
(lncl LPR Period) Sporrse

lv4obile No
NAME OF THE SPOUSE

Previously Any Exclusive Card issued (Yes/No). lf yes then specify the reason for new application
with detail info ---------

\q

Applicants Signaturo Date

P.ank and l.lame

UniUDepartmen( Formation/Organization Signature & Seal

Application t" [l o.t"


[----l csD Membership No[m
Card Delivery Date
Authorized Signature Seal

lT S..b". Card Secton Paid l---_l Not Paid IL---l | '

Apprication*"
F 0.," f_- --l
Card Delivery Daie I f
Auihorized Signature
Canteen Stores Department
,'$ Canteen Stores Deparlment
CSDIT -,

An{,3-
EXCLUSIVE SHOP
. APPLICATION FORM
FOR FAMILY CARD HOLDER

NAME oF THE AP!!I!AMI_EAMI!Y, CARD HOLDER)

MEMBEB CARD HOLDER DETAILS

ersonal Number

ALtostcd Passl.rot't
Arms/Service/Depa rtme nt UniUOrga nization sizc Phrtto in
ljniiorrn lor
defence pcrsr-,;ru.rul
Date of Rotirernent in Present Rank ct
Date of Birih
(lnci LPR Period) Spouse

Mobile No

Freviously Any Exclusive Card lssued (Yes/No) lf yes, rhen specify the reason for new application
wilh detail info, ----'---

Date

Rank and Name

U niUDe partmen t Forrl ation/Org an)zation Signature & Seal

Abpricarion N" [----l outu


f---_--l csD Membersh)p Noml-j
Card Deiivery Dato
Authorized Signature Seal

: lT Section Card Section Paid Not paid


[] E

ApplicationNo | | oate I --_l


Caro-crerivdry Date
Authori,ed Sinn:rr,.-

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