My Connections Form

(St. Mark’s Ex-Students’ Association)

Regd. Office : St. Mark’s Sr. Sec. School, Janakpuri, New Delhi – 110058, Phone : 011 25510490

 

MEMBERSHIP FORM

 

Date : ___________________

Registration No. : ______________________

 

(for official use only)

Name : __________________________________________________

 

Maiden Name (for Girls only) : ________________________________

 

Year of Passing out (XII) : ___________________

(Please attach self attested photocopy of School Leaving Certificate/CBSE Marksheet of Class XII)

 

Tel. No. (Off) : __________________ Tel. No. (Resi.) : __________________

 

Mobile : ______________________________________

 

 

 

 

Paste latest Passport size photo here

 

 

 

 

 

 

Email : _______________________________ DOB : _________________ Blood Group : ________

 

Educational Qualification (till date) : ____________________________________________________

 

_________________________________________________________________________________

 

Profession : _______________________________________________________________________

 

_________________________________________________________________________________

 

Permanent Residence Address : ______________________________________________________

(with documentary proof and two passport size photographs)

_________________________________________________________________________________

 

Father’s Name : ___________________________________________________________________

 

Mother’s Name : ___________________________________________________________________

 

Marital Status : ____________________________________________________________________

 

Name of the Spouse : _______________________________________________________________

 

Details of Children :                                        Name                                                  Age

                                                ________________________________               ___________

 

                                                ________________________________               ___________

 

Any Special Information about yourself : ________________________________________________

 

Would you like to be actively involved in the formation of the Alumni and its working. Please note that for this you would have to put in more efforts and additional time. Yes (     )          No (     )

 

Specify hours / days (excluding Saturdays/Sundays)

 

Please register me as a member of ‘Connections’ (St. Mark’s Ex-Students’ Association).

____________________________                                                    ____________________________

                        Signature                                                                                             Name

 


 

“Connections”

{ The Alumni Association of St. Mark’s Sr. Sec. Public School (Janakpuri) }

Regd. Office : St. Mark’s Sr. Sec. School, Janakpuri, New Delhi – 110058, Phone : 011 25510490

 

Rules & Regulations

 

v      Members are requested to disclose their correct personal particulars in “My Connections’ Form”. Registration will be immediately cancelled in case any entry is found incorrect.

 

v     The true identity of the member depends on the information shared by him/her. The School Management and the “Connections” Management will not be held liable for any unforeseen outcome of such wrongful information shared.

 

v      The School Management, the “Connections” Governing Body and its members / its associates will not be held responsible to compensate for any unforeseen circumstances / injury / loss of lifetime / financial loss occurred due to any negligence at the place of event.

 

v      The Lifetime Membership fee is on interest free basis, non refundable, non transferable and non adjustable in any circumstances.

 

v      Misbehaviour or any other objectionable activity inside or near the “Connections” registered office or where the event is organized will not be tolerated. The Governing Body reserves the right to take appropriate action.

 

v      The members are requested to present their Connections’ Identity Card every time they get connected with “Connections” for security reasons.

 

v      All the members are liable to follow all the Rules and Regulations / Terms and Conditions under Societies Registration Act XXI of 1860.

 

v      All disputes are subject to be settled under Delhi’s Jurisdiction only.

 

 

Yes, I have read all the Rules & Regulations of “Connections” and I agree to abide by them. I take my complete responsibility for the information presented in the form.

 

 

 

_________________________

_________________________

                (Signature)

(Name)

 

Members of the Governing Body :

 

Ms. Rama Sethi (President) 9818892515                                     CAPT. Harsh Suri (Vice President) 9899744777

Dr. Ritu Bahl (Secretary) 9811180865                                            Mr. Uday Grovar (Joint Secretary) 9213948144

Mr. Paamil Bhutani (Treasurer) 9212390786                                Mr. Atin Gupta (Joint Treasurer) 9811442747

 

Note : “Connections” is the only registered association of the ex-students from SMS under the guidance of St. Mark’s Sr. Sec. Public School (Janakpuri) New Delhi - 110058


Click here to Download this Registration Form