Name :

Course studied & Period :

Present position :

Contact address :

Phone No :

E-Mail :

Particulars regarding Reg. Fees: Cash/DD. (in favour of A.V.C. College Alumini Association)

   Please register my name as a life Member of the A.V.C. College Alumni Association.

Place:
date :                      

SIGNATURE

* Registration Fees : Rs. 200/-