AITEEA MEMBERSHIP FORM
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NAME
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In BLOCK letters only.
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FATHERS NAME
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DATE OF BIRTH
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Please enter in the format MM/DD/YYYY only.
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QUALIFICATION
*
Diploma/BE/BTech Plus MBA/PGDCA etc
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CIRCLE
*
Andaman & Nicobar
Andhrapradesh
Assam
Bihar
Chattishgarh
Chennai Telecom
Corporate Office New Delhi
Eastern Telecom Region
Gujarat
Haryana
Himachalpradesh
J&K
Jharkhand
Karnatak
Kerala
West Bengal
Madhya Pradesh
Maharashtra
NE-I
NE-II
Orissa
Punjab
Rajasthan
Tamilnadu
UP (E)
UP (W)
Uttranchal
Kolkata Telecom Circle
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HRMS NO.
*
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DEPT. / SECTION
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DATE OF JOINING
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Please enter in MM/DD/YYYY format only
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PRESENT ADDRESS
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PERMANENT ADDRESS
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MOBILE NO.
*
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RESIDENCE CONTACT NO.
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OFFICE CONTACT
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OFFICE CONTACT
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EMAIL ID
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REMARKS
*
Enter your Date Of Appointment in remarks
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I understand that this application is for the membership for ALL INDIA TELECOM EXECUTIVE AND ENGINEERS ASSOCIATION and i agree to become the member of the association. I also agree with the terms and conditions of the association.
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I agree
I disagree
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