South Point Ex Students' Association

South Point Ex-Students’ Association

Address : 16 Mandeville Gardens, Kolkata - 700019

Membership Application Form
To be furnished by the APPLICANT at the time of joining
(Please see Rules & Regulations mentioned at the end of the page.)

Fields marked with * are mandatory

NAME IN BLOCK LETTER

First Name:*

Middle Name :

Last Name:*

Gender :

Marital Status :

Date of Birth:*

(dd-mm-yyyy)

Email:*

Mobile No:*

Upload Photo:*

('Only JPG, JPEG, and PNG files are allowed.')

Year of Passing Madhyamik :*

When did you study at South Point? *

Year of Joining South Point:

& Class:

Year of Passing Out:

& Class:

Academic / Professional Qualification
College / University / Institute	Stream	Year

Present Occupation :	Designation :
Name of Company / Organisation :
Office Address :

Permanent Address: *

Postal Address: *

Tel No. RESIDENCE	Tel. No. OFFICE	FAX

Interest & Activities (Professional / Others)

Achivements ( Academic/Sports/Others)

Name of Spouse :	Occupation :
Academic Qualification :
Subscription Type : Life

I hereby declare that the above information is true to the best of my knowledge and belief. I undertake to abide by all the rules and regulations of the Association.
Date :

Would you like a printed ID Card to be delivered by courier for Rs. 100
I accept the Rules & Regulations mentioned below

Rules and Regulations

1. Membership is not transferable under any circumstances.

2. Submission of the application form does not automatically entitle the applicant to become a member of the Association. Membership will be granted at the discretion of the Managing Committee.

3. Rules may be amended or revised from time to time, and the amended or revised rules will be applicable to all members irrespective of their date of admission.

4. The Managing Committee reserves the right to cancel the membership of a member without assigning any reason. In case of expulsion, the member shall not be entitled to any compensation, monetary or otherwise.

Experiencing a technical issue during registration? Report it here.

ASPEXS Life Member

South Point Ex-Students’ Association