Hyderabad Management Association

Application For Student Membership

To
Secretary
Hyderabad Management Association
401, 4th Floor, Raghava Ratna Towers,
Chirag Ali Lane, Hyderabad - 500 001.
Ph :

Photograph

+91-040-23205680

Telefax : +91-040-23201720
Dear Sir,
I hereby apply for Student Membership of Hyderabad Management Association and agree to
abide by its Rules and Regulations.
I am remitting a Sum of Rs ..............................(Rupees .............................................) towards
i)
ii)

Rs. 100/-

Entrance Fee
Subscription for the year ending :............................................

Rs. 400/-

Note : Please submit one copy of stamp size photograph for identity card

BIO - DATA
1.

NAME (in capitals) ................................................................

2.

Father's Name ......................................................................

3.

Date of Birth................................................Marital Status

4.

Address / College ................................................................. ..

..Tel.No..
//Residential.
..Tel.No.

(Tick the address for correspondence)

5.
a)
b)
c)
d)

Educational Qualifications : University / Institution /Year of Passing Degree / Diploma

6.

Particulars if you are a member of any other Association

7.

What are the fields of your interest?

8.

Any additional information

I understand that the following facilities would be available on admission as a Student Member,
1.

To attend all Lecture Meetings, free of any Charge.

2.

To attend all HMA Film - Shows on Management, free of any charge.

3.

To attend HMA Training Programmes, at concessional rates.

4.

To read Library Books and Magazines at HMA Premises only, subject to the conditions
as decided by the Secretary of HMA
Signature of Applicant

Certificate from Head of Department

I certify that Mr / Ms.

is a Student of........................... yearbranch in.
College.

DATE
SEAL

HEAD OF DEPT.

For Office Use only

1.

Date of receipt of application

2.

Amount received Rs. Cash / Cheque / DD No..

3.

Admitted as member in the meeting held on ....

Admin.Officer