Sacred Heart Ex­Students Association

REGISTRATION  FORM
Registration Fee : Rs.500 (one time)
Annual Charges : Rs.500

   1.  Name ____________________________________________________________________________
2.  Father’s/Husband’s Name_____________________________________________________________
3.  Date of Birth________________________________________________________________________
4.  Address___________________________________________________________________________
     __________________________________________________________________________________
5.  Cell  No. _____________________________Telephone No._________________________________
6.  E­Mail ____________________________________________________________________________
7.  Qualification _______________________________________________________________________
8.  Profession  (please mention in detail)____________________________________________________
     _________________________________________________________________________________
7.  Year of Joining School  __________________________ Class_______________________________
9.  Year of Leaving School __________________________ Class _______________________________
10. Batch (the year in which you passed/would have passed Class X) _____________________________
11. Already Registered_____________ (Please do not pay Registration Fee of Rs.500 if already registered)

Date :__________________                                                                                                         Signature
____________________________________________________________________________________
For Office Use
Received Rs. ___________________ by cash / cheque no. ___________________________________
dated____________________________drawn on ___________________________________________
                                                                                                                                   Authorised Signatory

Sign up to vote on this title
UsefulNot useful