Holy Cross School Alumni Association

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HOLY CROSS SCHOOL ALUMNI ASSOCIATION
Holy Cross School, Sonai Road,
P.O : Silchar-788005, Dist : Cachar (Assam)

MEMBERSHIP FORM

NAME (In CAPITAL Letter)*

FATHER's/HUSBAND's NAME*

EDUCATIONAL QUALIFICATION*

PRESENT OCCUPATION*

NATIONALITY*

DATE OF BIRTH

SEX

STUDIED IN HOLY CROSS

FROM

YEAR OF PASSING OUT(HSLC)*

BLOOD GROUP

OFFICE ADDRESS

RESIDENTIAL ADDRESS

TELEPHONE(MOBILE)*

Country Code Number

(OFFICE)

(RESIDENCE)

EMAIL ID

Password

Confirm Password

Place
Date

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Lifetime Membership Fee Rs. 1000/-(Rupees One thousand only)

Payment Details

UTR No./Others:
Bank Name:
Deposit Date:

Application will be confirmed after payment verification

OUR BANK A/C DETAILS
Bank Name	:STATE BANK OF INDIA
Branch	:SONAI ROAD (13308)
A/C Name	:HolyCross School
	Alumni Association
A/C No.	:35136906089
IFSC Code	:SBIN0013308

DECLARATION BY THE APPLICANT

"The above statements are true to the best of my knowledge and belief and I do hereby agree to abide by the rules and regulations of the association..."