APPLICATION FOR NDA ALUMNI ASSOCIATION

The Secretary Affix

NDA Alumni Association
Photograph
Khadakwasla
Pune - 411023

Dear Sir ,

1. I would be honoured to be a life member of NDA Alumni Association for which, I

am enclosing a Bank Draft / Cheque / Cash (DD / cheque No
…………………………… Dt……………….. and Name of
Bank……………………………..) for a sum of Rs. 1000/- (Rupees One Thousand only)
towards my life membership subscription in favour of “NDA Alumni Association
Account”, payable at SBI NDA Khadakwasla, Pune. My particulars are given below:-

(a) No & Rank :

(b) Name in full (Capital Letters) :

(c) Date of Birth :

(d) Date of Commission :

(e) Course Details.

(i) Course Serial Number :

(ii) Sqn :

(iii) Cadet Number :

(f) Unit/Corps/Ship/Sqn :

(g) Service Details.

(i) Appointments :

(ii) Decoration :

(iii) Achievements :

(iv) Qualification :
 2

(h) Address.

(i) Permanent Address :

(ii) Phone Number :

(iii) E-Mail Identity :

(iv) Next of Kin details :

(v) Address for Correspondence :

2. In case of Retired Officers/Related Officers :-

(a) Date of retirements/release :

(b) Present Occupation :

3. I certify that the above information is true and correct to the best of my
knowledge and belief. I undertake to intimate any changes to the Secretary. NDA
Alumni Association on occurrence.

…………………
Date : (Signature)

Note : Two recent photographs (one passport size and one stamp size) to be
enclosed for issue of membership card.

FOR OFFICE USE ONLY

1. Subscription received vide receipt No …………………………. Dt…………………

2. Membership No allotted………………………………

3. Membership card issue and dispatched vide Regt letter No

………………………………………………….. Dt ………………………..

4. Particulars of Membership entered in the Master Roll on

……………………………………………………………………..

……………………………..
(Signature)

Date :
 Change of Address

1. No :

2. Rank :

3. Name :

4. Membership No :

5. Permanent Address :

………………………………………………………………………………..

……………………………………………………………………………….

………………………………………………………………………………

6. Address for Correspondence

(a) Address

………………………………………………………………………………..

……………………………………………………………………………….

………………………………………………………………………………

(b) Tele No.

……………………………………………………………………………….

(c) E-mail address

……………………………………………………………………………….