KV Form

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KVSAA

Regd no. 494/2015 dt. 22.12.2015


APPLICATION FORM FOR MEMBERSHIP OF ALUMNI ASSOCIATION
KENDRIYA VIDYALAYA SULUR
To apply for membership, please fill this form and send it along-with a copy of payment details
PERSONAL DETAILS
Title (Mr/Mrs/Ms/Dr) ____________

Date of Birth _______________________________

Full Name _______________________________________________________________________________


Educational Qualification ______________________ Present Occupation ________________________
Address (Present) _________________________________________________________________________
_______________________________________________________________________________________
Address (Permanent) ______________________________________________________________________
_______________________________________________________________________________________
Mobile/ Telephone contact numbers _________________________________________________________
Email ID ________________________________
Blood Group ___________________

Occupation ______________________________________

Study tenure in KV Sulur __________________________________

Speciality (useful to KVSAA)_______________________________________________________________


_______________________________________________________________________________________
Marital Status:____________________

No. of Children___________________________________

I am willing to join the Kendriya Vidyalaya Sulur Alumni Association and have remitted
Rs.. towards lifetime / 10 yrs/ 5 yrs/ Bi-annual / Student Membership
into the account of Kendriya Vidyalaya Sulur Alumni Association Account
by online transfer/ Cheque/ draft.

Paste your Passport


size photograph

Transfer Reference Number Dated


Cheque/ Draft No.. Dated..

(Name:
Date:

The subscription structure:


1.
Life Membership: Rs. 4000/2.
10 years Membership: Rs. 2000/3.
5 years Membership: Rs. 1000/4.
Bi-Annual Membership: Rs. 500/5.
Student Membership (those doing graduation or post-graduation): Rs. 100/Note: Life time Alumni can only become committee members and will be eligible to vote.
Account Details: A/c Name: KENDRIYA VIDYALAYA SULUR ALUMNI ASSOCIATION - CURRENT ACCOUNT NO.

35402473494 (IFSCCODE) SBI AF STN SULUR SBIN0004882


Mail the form to: kvsuluralumni@gmail.com / and/or send a hard copy to:
PRESIDENT, KVS ALUMNI ASSOCIATION C/O KV AF STN SULUR, KANGAYAMPALAYAM (PO) COIMBATORE
641401.

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