APPLICATION FOR NDA AA MEMBERSHIP

APPLICATION FOR NDA AA MEMBERSHIP

APPLICATION FOR NDA AA MEMBERSHIP

APPLICATION FOR NDA ALUMNI ASSOCIATION

	Affix    Photograph

The Secretary

NDA Alumni Association

Khadakwasla

Pune - 411023

Dear Sir ,

1.         I would be honoured to be a life member of NDA Alumni Association for which, I am enclosing a Bank Draft / Cheque / Cash  (DD / cheque No …………………………… Dt……………….. and Name of Bank……………………………..) for a sum of Rs. 1000/- (Rupees One Thousand only) towards my life membership subscription in favour of “NDA Alumni Association Account”, payable at SBI NDA Khadakwasla, Pune.  My particulars are given below:-

            (a)       No & Rank                                        :          

            (b)       Name in full (Capital Letters)         :

            (c)        Date of Birth                                      :

            (d)       Date of Commission                       :

(e)          Course Details.

(i)            Course Serial Number        :

(ii)           Sqn                                         :

(iii)          Cadet Number                      :

            (f)        Unit/Corps/Ship/Sqn                       :

            (g)       Service Details.

                        (i)         Appointments                       :

                        (ii)        Decoration                            :

                        (iii)       Achievements                      :

                        (iv)       Qualification                         :

2

                                   

            (h)       Address.

                        (i)         Permanent Address                                    :

                        (ii)        Phone Number                                :

                        (iii)       E-Mail Identity                                   :

                        (iv)       Next of Kin details                           :

                        (v)        Address for Correspondence        :

2.         In case of Retired Officers/Related Officers :-

            (a)       Date of retirements/release                        :

            (b)       Present Occupation                                                :

3.         I certify that the above information is true and correct to the best of my knowledge and belief.  I undertake to intimate any changes to the Secretary.  NDA Alumni Association on occurrence.

                                                                                                            …………………date :                                  (Signature)               

Note :       Two recent photographs (one passport size and one stamp size) to be enclosed for issue of membership card.

           

FOR OFFICE USE ONLY

1.         Subscription received vide receipt No …………………………. Dt…………………

2.         Membership No allotted………………………………

3.         Membership card issue and dispatched vide Regt letter No ………………………………………………….. Dt ………………………..

4.         Particulars of Membership entered in the Master Roll on ……………………………………………………………………..

                                                                                                          

                                                                                    (Signature)

Date :

Change of Address

1.         No                                           :

2.         Rank                                      :

3.         Name                                     :

4.         Membership No                   :

5.         Permanent Address                        :

            ………………………………………………………………………

            ………………………………………………………………………

            ………………………………………………………………………

 

6.         Address for Correspondence

            (a)       Address

            ……………………………………………………………

            ……………………………………………………….

            ……………………………………………………………

(b)  Tele No.

……………………………………………………………………………….

(c)  E-mail address

……………………………………………………………………………….