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CHAPTER 1 - Border Roads Organisation

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RESTRICTED<br />

Form No. 9<br />

CENTRAL GOVERNMENT EMPLOYEES‟ GROUP INSURANCE SCHEME, 1980<br />

REGISTER OF MEMBERS<br />

Group<br />

Section 1 : Particulars of employees subscribing to the Insurance fund only<br />

Sl<br />

No<br />

Name Designation Date<br />

of<br />

birth<br />

Date<br />

of<br />

apptt<br />

Date of<br />

Commencement<br />

of subscription<br />

Date of<br />

promotion<br />

to<br />

higher<br />

Gp/date<br />

of transfer<br />

to other<br />

Deptt<br />

Date<br />

of<br />

death<br />

1 2 3 4 5 6 7 8 9<br />

Remarks<br />

Section II. Particulars of employees subscribing to both Insurance Fund and saving fund<br />

S/No Name Designation<br />

Dt of<br />

birth<br />

Dt of<br />

Apptt<br />

Dt of<br />

Commencement<br />

of subscription<br />

Dt of<br />

Promotion<br />

to<br />

higher<br />

Gp/dt of<br />

transfer<br />

to other<br />

govt<br />

dept<br />

Dt of<br />

cessation<br />

of<br />

membership<br />

and<br />

reasons<br />

therefore<br />

1 2 3 4 5 6 7 8 9<br />

Remarks<br />

116<br />

RESTRICTED

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