South Point Ex Students' Association

South Point Ex-Student’s Association

Address : 16 Mandeville Gardens, Kolkata - 700019
High school : 82/7A Ballygunge Place Kolkata - 700019

MEMBERSHIP 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)

Year:*

& Class:*

Of joining South Point

Year:*

& Class:*

Of leaving South Point

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	E-MAIL*	MOBILE NO.*

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 :

I accept Rules & Regulation mentioned below

Rules and Regulations

1. Payment should be made by A/c payee cheque / Demand Draft only payable at Kolkata, drawn in favour of 'ASPEXS'. The applicant must mention his / her name on the reverse of the cheque.

2. Membership is not transferable under any circumstances.

3. 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.

4. 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.

5. 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.

ASPEXS Life Member

South Point Ex-Student’s Association