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:: ALUMNI ASSOCIATION FORM :: |
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| :: ALUMNI ASSOCIATION :: | ||||
ADDRESS : SHRI SHIVAJI COLLGE OF ARTS, COMMERCE & SCIENCE, NEAR SHIVAJI PARK, AKOLA |
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APPLICATION FORM FOR MEMBERSHIP |
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| To, | Paste Passport Size Photo here. |
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| The Secretary, | ||||
| Alumni Association of | ||||
| Shri. Shivaji College of Arts, Commerce, & Science, | ||||
| Akola 444001 | ||||
| Dear Sir/Madam, | ||||
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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. |
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My Personal Information as Below |
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1. |
Full Name(in BLOCK letters) | ____________________________________________________ | ||
SURNAME MIDDLENAME LASTNAME |
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2. |
Date of Birth | [D][D]/[M][M]/[YYYY] | ||
3. |
Educational Qualification | ____________________________________________________ | ||
4. |
Year of passing from this college. (Please Indicate Jr./Sr./PG/Reaserch) | ____________________________________________________ | ||
5. |
Present Status (Employed/Business/Self) (Please Indicate) | ____________________________________________________ | ||
6. |
Address (Official/Correspondance) | ____________________________________________________ | ||
| ____________________________________________________ | ||||
7. |
Contact No. & eMail | ____________________________________________________ | ||
8. |
Any Significant Achievements | ____________________________________________________ | ||
9. |
Please give three names of your classmate and their present Address/Ph.No./eMail. | ____________________________________________________ | ||
| ____________________________________________________ | ||||
Yours Faithfully |
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| Date : __/__/_____. | Signature |
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| :: Fill and post it to above address or send it to alumni@shivajiakola.org :: | ||||