My Connections Form
(St. Mark’s Ex-Students’
Association)
Regd. Office :
St. Mark’s
MEMBERSHIP FORM
Date : ___________________ |
Registration
No. : ______________________ |
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(for
official use only) |
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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.) :
__________________ |
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Email :
_______________________________ DOB : _________________ Blood Group : ________
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Educational
Qualification (till date) :
____________________________________________________ |
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_________________________________________________________________________________ |
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Profession
: _______________________________________________________________________ |
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_________________________________________________________________________________ |
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Permanent
Residence Address : ______________________________________________________ |
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(with
documentary proof and two passport size photographs) |
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_________________________________________________________________________________ |
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Father’s
Name : ___________________________________________________________________ |
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Mother’s
Name : ___________________________________________________________________ |
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Marital
Status : ____________________________________________________________________ |
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Name of
the Spouse : _______________________________________________________________ |
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Details
of Children : Name Age |
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___________ |
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________________________________
___________ |
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Any
Special Information about yourself :
________________________________________________ |
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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 ( ) |
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Specify hours / days (excluding Saturdays/Sundays) |
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Please
register me as a member of ‘Connections’ (St. Mark’s Ex-Students’
Association). |
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____________________________ ____________________________ |
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Signature Name |
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“Connections”
{ The Alumni
Association of St. Mark’s
Regd. Office : St. Mark’s
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
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