Uniraj Alumini Fedration

Title

Name

DOB

Gender

Father’s / Husband’s Name

Mother’s Name

Course/s studied

Position/ post held in College/ Sports

Residential Address

Mobile/ Phone

Alter Contact No

Alternate Email

Occupation

Name of Organisation

Designation

Office Address

Ways in which I can Assist the Federation

Any other Information / Achievements

Transfer Amount

Bank Transaction No

Bank Transaction Receipt

** Please deposit membership amount in given bank details and submit transaction receipt with membership form

Member Registration