HSAASA

Higher and State Audit & Accounts Services Association, WB

|| Online Membership Application Form

( * Marked are all Mandatory Fields )

Regn No.

Mandatory Section

HRMS ID*

Member Name*

Mobile1*

Designation*

Batch*

Service Joining Date *

Retirement Date *

Edn Qualification *

Date of Birth*

Father's/Guardian Name *

Spouse Name*

Present Address*

Same

Permanent Address*

EMail*

PAN*

Upload Payment Challan*

Optional Section

Bank Name

Account No

Branch Name

IFSC

GPF No

CoOperative Member?

Pay Application Fee (Annual Subscription) ₹ 500

I hereby declare that the information furnished above is true and correct to the best of my knowledge and belief. I undertake to comply with the Constitution, Rules, and Regulations of the Association and to uphold and promote its aims and objectives.
I further declare that I am not a member of any other Association of the West Bengal Audit & Accounts Service (WBA&AS) and I shall not hold membership of any other such Association concurrently during my membership of this Association.

# (Bank A/C No. 459916930 & IFSC – IDIB000S769,
A/C Holder Name - Higher and State Audit & Accounts Services Association)
OR
SCAN THE QRCODE & PAY ==>