Membership
form for Vanivihar Old Students Society -92
1.
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Name of the Member-
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2.
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Name of the P.G Deptt.
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3.
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Name of the Spouse-
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4.
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Present place of Job-
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5.
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Present Address-
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6.
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Permanent Address-
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7.
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Contact Nos-
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8.
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Mail Id-
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9.
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Blood Group-
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10.
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Date of Birth-
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11.
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Date of Marriage-
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12.
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Name of Daughter/Son & their date of birth-
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1.
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2.
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13.
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Vegetarian
(Please mention number of family members against yes or no.)
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Yes-
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No-
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I feel proud to be a member of VOSS-92 and being a member I will extend all
type of cooperation for development of the society as well as the nation.
(Signature of the Member)
Name:_________________
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