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OLD BOYS'
ASSOCIATION (Regd.) |
GOVT. CENTRAL TEXTILE INSTITUTE
KANPUR
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MEMBERSHIP FORM
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Name:
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Father's Name:
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Residential
Address |
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Permanent:
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Pin
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Tel.No.
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Present:
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Pin
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Tel.No.
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E-mail:
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Mill / Office
Address with Designation: |
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Year of
Passing: Diploma/ Degree/ M.Tech / Ph.D. from G.C.T.I. Kanpur
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Amount of
Subscription: Rs.
.................(Rs.
...........................................................)
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Mode of
Subscription: by Cash / Cheque / Demand Draft
(Note:
Please release DD/Cheque
in favour of Old Boys
Association payable
at Kanpur) |
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Date: ............... |
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Place:
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Signature of Member |
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Please mail this Form
along with subscription to: |
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Sri R.K. Srivastava,
Hon. Secretary, 3A, Laxmi Rattan Cotton Mills, Officers Colony,
Kalpi Road, Kanpur-208012 |
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Contact No.
0512-2242164, Mobile No. 9839118057
Website:
www.obagctiknp.com
E-mail: obagctikanpur@rediffmail.com
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Note:
Membership Fee Life Rs. 500/
Patron
Rs. 1000/
Abroad
100$ |