VETERINARY COLLEGE ALUMNI ASSOCIATION, KERALA

Mannuthy. P.O, Thrissur-680651

 

Application for membership

   

    1.    Name                                   :...........................................................................................................

    2.    KVC Registration No:           :..........................................................................................................

    3.    Residential Address              : ..........................................................................................................

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                                                       Tel. No: ..............................................................................................

                                                        Mobile No: .........................................................................................

    4.    Official Address                  : ............................................................................................................

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                                                        Tel. No: ..............................................................................................

    5.    Year of graduation / Post graduation : ...............................................................................................

    6.    Particulars of admission fee               : ...............................................................................................

 

        Date: ....................                                                                                               Signature: ....................

                                                                                                                                    Name     : ....................

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OFFICIAL USE

 

Admission No:........................................................Date of Registration: ........................................................

Remarks: .......................................................................................................................................................

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                                                                                       Signature of the General Secretary / Joint Secretary

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Temporary Receipt

Received From..................................................................................................................................the sum of Rs...................................................towards the membership fee / admission fee to the Veterinary College Alumni Association, Kerala.

 

Date:...................................                                                                                       For Secretary / Treasurer