Application Form

Membership * :

Photograph * :

Name of the Alumnus * :

Degree Obtained :

Regular Honors

Regular MSS

Mphil

PhD

1 year Evening MSS

2 years Evening MSS

Spcialized Evening MSS(IRLS,CSW,GGW,VRJ)

Session :

Honors

Masters

MPhil.

PhD

Date of Birth * :

Blood Group:

Present Occupation :

Designation(Present/Last) :

Office Address :

Phone :

Mobile :

Present Address :

Phone :

Mobile :

E-mail :

Permanent Address :

apkztbqD