PUAA Online

Registration Photograph
No._______

Punjab University Alumni Association Membership Form

Only Punjab University regular students/graduates are eligible
(Details will be kept confidential)
Name: Mr./Mrs./Ms._____________________ Father’s Name: ______________________
Email Address: __________________
CNIC:______________________
Mobile Phone:________________
Present Address:_____________________________________________________________
Present Engagement/Profession:__________________________________________________
Career Employment/Organization:________________________________________________
(Past/Present)
Session:______________________
Year of Passing:_________________
Last Degree Obtained:___________________________________
Department/Institute:________________________________________________________
Pledge to become an active PUAA member:

I hereby apply for PUAA membership to join the Alumni for advancing Punjab University’s mission and vision with a
deep sense of commitment and contributing to the best of my ability as and when needed.

Requisite Membership fee of Rs.1000 (bank draft/Demand Draft/Pay Order) has been paid in favour of Treasurer, PU
at HBL Quaid e Azam Campus Branch Lahore, A/C No. PK88HABB00018279000682301 (copy enclosed). For Online
Membership, the Membership fee has been deposited in the said account.

My particulars are given above. In case of any change, I shall initiate the same. I have read the constitution of the
Association and agree to abide by it.

Dated:__________________ Signature of Alumni _____________________________

For Office Use Only: (To be filled by the PU Alumni Office after the receipt of the membership form).
Received and Authorized by:

_____________________________ _____________________________
Signature and Stamp Date
Secretary General PUAA

Please return completed form to Room # 144, First Floor, Administration Block, New Campus Punjab University,
Lahore, OR by e-mail to director.alumni@pu.edu.pk . Kindly note, in case the information is found incorrect,
the membership can be terminated.