ALUMNI ASSOCIATION OF CRM JAT COLLEGE, HISAR
Membership Form
Personal Details
Full Name
Father's Name
Date Of Birth
Gender
Male
Female
Other
Email ID
Mobile No.
Permanent Address
Education Qualification
Other Details
Present Job/ Occupation
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Goverment Job
Private Job
Businessman
Farmer
Social Worker
Part of NGO
Politician
Celebrity
Writer
Poet
Singer
Film Personality
Advocate
Doctor
Administrative Services
Self Employed
Shopkeeper
Army Officer
Sportsman
Bank Employee
Semi Goverment
Other
Designation
Office Address
Year of admission in college
Year of Pass out
Achievements
Last Exam Passed From
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INTER
PREP
10+1
10+2
M.SC(IT)
M.SC ZOOLOGY
M.SC MATHS
MA ENGLISH
MA HINDI
M COM
BCA
B COM
B.SC INDUSTRIAL CHEMISTBIO-TECHNOLOGY
B.SC BIO-TECHNOLOGY
B.SC ELECTRONICS
B.SC MEDICAL
B.SC COMPUTER SCIENCE
B.SC NON-MEDICAL
BA
Certified that:
I unconditionally subscribe to the aims & objects of the Society and Contribute toward sattainment of the same.
I will abide by the Bylaws of the Society, as applicable and amended from time to time.
I have not been convicted of an offense involving moral tukrpitude involving Imprisonment.
My entry in the college has never been restricted/ debarred from the college authorities.
I enclosing herewith the following documents:
Proof of identity.
Proof of Address.
Proof of date of birth.
Bank Details are as under:
Account Number :
521802010108447
A/C Holder Name :
ALUMNI ASSOCIATION OF CRM JAT COLLEGE HISAR
IFSC code :
UBIN0552186
Fee for:
Ordinary Membership Rs 500
Life Membership Rs 2100
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