organisation
management
INDIAN EX-SERVICES LEAGUE MAHARASHTRA
Registration under the society Registration Act. 1860 Ref. Certificate No. Bom. 119/70, G.B.B.S.D of 13-07-1970 and by the Charity Commissioner, Greater Bombay Ref. No. F2020 Bombay of 14-09-1970
Tel:  2262 0777 
Fax: 2267 5520 
Email: ieslmah@gmail.com  
‘J’ Hutment, Azad Maidan
Mahapalika Road
Mumbai - 400 001
COMMON LIFE MEMBERSHIP FORM
(Officers-Rs-300 JCOs, equivalent to Navy & Air Force (Incl Hony Commission) - Rs-200 or -Rs.150)
To,
General Secretary
IESL,9Nyaya Marg,
Chanakyapuri,
New Delhi - 110021
Throught State League IESL MAHARASHTRA
(FORM SHOULD BE FILLED IN BLOCK LETTERS)
1). No      Rank          
  Name Photo
  S/O     Next of Kin
  Date of Birth      
  Email
  Present Address
  Phone  
2). In Case of widow(Name)     Date of Birth           
  Date of daeth of her hasband
3). Service/Corps/Unit               Date of Enrolment  
  Date of discharge / release / retirement Character assessed
  Type of retirement /discharge / release
  Disch book / PPO No.        
4). Have you ever been convicted for an offence of morral turpitude during or after service
YES
No
5). I certify that above information is true and correct to the best of my knowledge . I also hereby undertake to abide by IESL constitution if enrolled as member
  Any Message  
Date     
Place    
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