MEMBERSHIP FORM

Alumni Association for students of

Ace Higher secondary School (AASA)
Shouldering social responsibility..
Personal details
Title (Mr. /Mrs. /Ms.)
First name:___________________________

Last name: ___________________________

Nationality:____________________

District: ____________________

P.P SIZE
PHOTOGRAPH

City: ___________________________
Street address: ________________________________________________________________
____________________________________________________________________________
Contact details
Tel:
Res: _____________________
Office: ___________________
Mob: _____________________
Email: ______________________________________________

IF you were a student

Date of birth: ___________
DD/MM/YY

Permanent Address
__________________________________________________________
__________________________________________________________

Faculty: ____________________
Year started: ________________
Year finished: ________________
Gender:

Subscription
If you would like to keep in touch with AASA by receiving information
about forthcoming activities seminars, workshops and news stories
please tick the box and make sure you have provided us with your email
address.

If you were a member of staff

Job title: ______________________
Department: ___________________

Membership type:
General
Lifetime
Honorary

Date of birth: _________________

DD/MM/YY
Start date: _________________
DD/MM/YY
Finish Date: _________________
DD/MM/YY
Gender:

Career Details
Name of current employer/ organization: _____________________________________________________________
Job title: ____________________________

Address: _______________________________________________

Post code: ___________________________ Work Tel: ____________________

AASA , New Baneshwore, Kathmandu, Nepal.

Tel:
Email:

Fax: ___________________