Canteen Stores Department EXCLUSIVE CARD FOR RETIRED PERSONNEL APPLICATION FORM TS Number Rank Full Name Arms/Service/Department Date of Retirement Tel/Mobile No Spouse Name Present Address Permanent Address Card Fee Payment Mode (By Cash/Bank Transfer) Date Applicant’s Signature Rank and Name Designation Signature & Seal Application No Date CSD Membership No Card Delivery Date Authorized Signature Seal IT Section Card Section Paid Not Paid Application No Date Card Delivery Date Authorized Signature Canteen Stores Department
Canteen Stores Department EXCLUSIVE CARD FOR RETIRED PERSONNEL APPLICATION FORM TS Number Rank Full Name Arms/Service/Department Date of Retirement Tel/Mobile No Spouse Name Present Address Permanent Address Card Fee Payment Mode (By Cash/Bank Transfer) Applicant’s Signature Date Rank and Name Designation Signature & Seal Application No Date CSD Membership No Card Delivery Date Authorized Signature Seal IT Section Card Section Paid Not Paid Application No Date Card Delivery Date Authorized Signature Canteen Stores Department