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ALUMNI ASSOCIATION OF SHRI SHIVAJI COLLGE OF ARTS, COMMERCE & SCIENCE, AKOLA
ADDRESS : SHRI SHIVAJI COLLGE OF ARTS, COMMERCE & SCIENCE, NEAR SHIVAJI PARK, AKOLA
APPLICATION FORM FOR MEMBERSHIP
   
Date : __/__/_____
 
To,  
Paste Passport Size Photo here.
  
The Secretary,    
Alumni Association of  
Shri. Shivaji College of Arts, Commerce, & Science,  
Akola 444001  
       
Dear Sir/Madam,      
I'm X-Student of our college, I would like to enroll as member of alumni association. For all studnets Junior/Senior/Post Graduate/Research.
   
     
My Personal Information as Below
   
1.
 Full Name(in BLOCK letters)  
 
SURNAME                 
 MIDDLENAME    LASTNAME  
2.
 Date of Birth DD/MM/YYYY  
3.
 Educational Qualification  
4.
 Year of passing from this college. (Please Indicate Jr./Sr./PG/Reaserch)  
5.
 Present Status(Please Indicate) (Employed/Business/Self)  
6.
 Address (Official/Correspondance)  
7.
 Contact No. & eMail  
8.
 Any Significant Achievements  
9.
Please give Details of your classmate
   
Name
  
Address
  
Ph.No.
    
eMail
    
Yours Faithfully
   
     
 
Signature
    
:: Fill and post it to above address or send it to alumni@shivajiakola.org ::