ANNEXURE FORM - I ( VIDE RULE NO. 6 (1) Form of Application by the Society/Corporation for participation in the Handloom Weavers Contributory Thrift Fund Scheme. 1. Registration number, the Name & Address of the Society/ Corporation including Branch Address if any. 2. Date of Registration 3. The total number of Members 4. The total number of Handlooms Enrolled in the Society. 5. The total number of members of the society proposed to be brought under the scheme. 6. State whether the society/corporation is recovering from the wages of the members thrift subscription at not less than 8% of the wages as per Bye-laws. 7. Has a resolution been passed by the board to participate in the scheme and to abide by the Rules of the scheme (copy of the resolution should be enclosed). 8. Has a resolution been passed by the Board Certifying to the correctness of the age and health conditions of the members in col.(5 ) (Copy of the resolution to be enclosed) PLACE : Date Signature of the secretary. DECLARATION I __________________________Secretary of the Society/ Representative of the Corporation hereby declare that the above facts are correct to the best of my knowledge. PLACE: DATE: Signature of the Secretary/ Representative of the Corporation.