Tetawa.Org

Company Name

Address

City

Pin Code

Railway Code

Off. Phone No

code with phone no (Ex: 0452)

Mobile No

Email ID

Owener's Name

Date of Birth

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Sun	Mon	Tue	Wed	Thu	Fri	Sat

Blood Group

Qualification

additional Qualification

Father's / Husband Name

Residential Address

Resi. Phone No. / Alternate no

code with phone no (Ex: 0452)

Mention Other Business

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Name of Booking Company

(eg: OSS, Smartshop, ITZ, etc.,)
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I agree that all the above filled in the application are true to my knowledge and I accept all the terms & condition of our Association.

Code

(Type the Code Shown)

Send Your Payment
A.c Name	:	Tamilnadu Eticket Agents Welfare Association
A/c Number	:	001802000010268
IFS Code	:	IOBA 0000018
Bank	:	Indian Overseas Bank
Branch	:	Chokkikulam Madurai Tamilnadu India

	Regd.Office :Saraswathi Bhavanam,13,14,15 Perumal Teppakulam East,Town Hall Road, Madurai -625001.
	State H.O : Plot No.2,2nd Floor, 80 Ft. Road, K.K Nagar, (Opp. WafkBoard College), Madurai 625020
	E-mail : info@tetawa.org, Mobile :99406 29533
	Copyright © 2010 Tamilnadu E-ticket Agents Welfare Association. All Rights Reserved.