ALUMNI ASSOCIATION FORM
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
To,
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
01. | Full Name(in BLOCK letters) | SURNAME MIDDLENAME LASTNAME |
02. | Date of Birth | [D][D]/[M][M]/[YYYY] |
03. | Educational Qualification | ___________________________ |
04. | Year of passing from this college. (Please Indicate Jr./Sr./PG/Reaserch) | ___________________________ |
05. | Present Status (Employed/Business/Self) (Please Indicate) | ___________________________ |
06. | Address (Official/Correspondance) | ___________________________ |
07. | Contact No. & eMail | ___________________________ |
08. | Any Significant Achievements | ___________________________ |
09. | Please give three names of your classmate and their present Address/Ph.No./eMail. | ___________________________ |
Date : __/__/_____.
Yours Faithfully
Signature
:: Fill and post it to above address or send it to alumni@shivajiakola.org ::