AIMT Alumni Association -Ambala

                    Regd Office: AIMT, Jain College Road

                Ambala-City 134003

                Membership Application Form

Date:

Full Name:

Email ID:

Full correspondence Address:    _______________________________
                                                 _______________________________
                                                 _______________________________

                                              PIN:

Batch: MBA / MCA   passing out year:

Roll Number:

Marital Status:

Name of Spouse:

Yours & Spouse’s Birth dates:

Working as:

Name of Organization:

Approximate Income PA:

Amount enclosed here:______________

Purpose: Registration Fee/Contribution/Other__________

Mode of paying: Detail:___________________________________

Signature

 THANK YOU FOR BECOMING MEMBER

Membership No. Allotted                                    Amount Recd Rs___________

Entered in Register & Website                              DATE:

Instructions:- Candidates can send the Membership Form us by Post or E-mail.

                     Please fill the form after  Copy in MSWORD format.

Note:-Amount can be deposited from any SBP Branch to the A/C No. 65003150018 in

 State Bank of Patiala , Jain College Branch , Ambala City.

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