SPA ALUMNI

C/O THE SCHOOL OF PLANNING AND ARCHITECTURE, NEW DELHI 110002.

APPLICATION FORM FOR MEMBERSHIP

1. Name :

2. Office Address :


3. Home Address :


4. Telephone Numbers Office :
Residence :
Mobile :

5. Fax Number :


6. Email Business :
Personal :

7. Course (UG/PG/PHD) :

Year of Joining :
Year of Passing :


8. Category of Membership: (tick one) Life Member Member


9. Date of Birth :




Signature
____________________________________________________________________________
NOTE: Application form accompanied by A/c Payee Cheque or Demand Draft in favour of 'SPA Alumni'
may be sent to the

Treasurer,
SPA Alumni,
C/o School of Planning and Architecture,
Indraprastha Estate,
New Delhi 110002.

Fees and subscription payable for each category are as follows:

Life Membership fee is Rs.2500/-

Member fee is Rs. 100/- + Rs. 500/- towards annual subscription