Forms

Registration Form

8.2 JPT Form - II (Registration Form)

A. Membership Detail

Applicant details.

First Name

Phone Number

Email Address

Sex

DOB

ID number

Permanent Address

Saving A/C Number

Current Address

B. Spouse Detail

Dependent Details

First Name

Phone Number

Email Address

Sex

DOB

ID number

Permanent Address

Saving A/C Number

Current Address

Nominee (s) for welfare claim

C. Children

First Name

DOB

Sex

Male

Female

First Name

DOB

Sex

Male

Female

C. Member’s Parents

First Name

DOB

Address

Relationship

First Name

DOB

Address

Relationship

C. Spouse’s Parents

First Name

DOB

Address

Relationship

First Name

DOB

Address

Relationship

I certify that the information given above is true to the best of my knowledge. In the event of demise, benefits will be claimed in aligned with the JPTs AOA drafted 2013. I hereby nominate the right to receive an amount after my death. Subsequently, I take an oath of abiding the JPT’s management’s decision at all times. Failing to abide the JPT’s decision will lead to termination of my membership without any excuses.

Date of sign

Place of sign

Disclaimer: This is electronically Generated Document and needs NO Signature

JPT Online Forms

JPT paper base forms

8.2 JPT Form - II (Registration Form)

A. Membership Detail

B. Spouse Detail

Nominee (s) for welfare claim

8.3 JPT Form – III (Claim Form)

8.3.a Claimant Details

8.3.b Decease Details