Dr. Harisingh Gour University, Sagar University
ALUMNI ASSOCIATION : MEMBERSHIP FORM
ALUMNI ASSOCIATION : MEMBERSHIP FORM
24-12-2011
 
ALUMNI ASSOCIATION
DR. H.S. GOUR UNIVERSITY, SAGAR - 470 003 (M.P.)
MEMBERSHIP FORM
  || MS Word file  || pdf file ||
1.         Name                                                                                   :
2.         Age/Date of Birth                                                                :
3.         Degree/Year of passing                                                   :
4.         Marital status                                                                      :
5.         Present address                                                               :
6.         Permanent address                                                         :
7.         Present position                                                                :
8.         Contact mobile Number                                                   :
9.         Contact land line number                                                :
10.       Email ID                                                                              :
11.       Present employment/Higher studies                            :
12.       Designation                                                                       :
13.       Membership Fee (Rs. 2000=00)                                   :                                     May be deposited in Dr. H.S. Gour
                                                                                                                                                Vishwavidyalaya Power Jyoti
                                                                                                                                                Account No. 32000156472 through
                                                                                                                                                challans available on website
                                                                                                                                                www.dhsgsu.ac.in
14.       Any other information wish to share                             :
 
 
 
Place :
Date :                                                                                                                                                                          Signature
 
 
 
Note: i. Please attach one recent passport size photograph.
               ii.The above information shall be made available at Alumni website.