Home -> Application for Membership of Alumni Assosiation.
ALUMNI ASSOCIATION OF SMT. KASHIBAI NAVALE MEDICAL COLLEGE & GENERAL HOSPITAL, PUNE
APPLICATION FOR MEMBERSHIP
Personal Current Details
For Alumni Students (MBBS/Intern/PG student)
1. Year of Admission at SKNMC
2. Currently studying in year, semester
3. Passing Final MBBS (Month & Year)
4. Date of Internship completion
5. Are you pursuing Post-graduation/ Completed Post-graduation :
If Yes give details:
Name of the Course
Institute where PG course is being pursued:
Year of Admission
Subject of specialization
Date/likely date of Completion of PG course
1. Date of joining the institute:
Payment details: (for office use only)
Category of membership
For office use only
Patron member/Donor member/ Life member/Affiliate Life member/Graduate Associate member/Student member/ Honorary member
Mode of payment (NEFT/Cash/Cheque/DD):
(Cheque/DD drawn in favor of: "Alumni Association of Smt. Kashibai Navale Medical College & General Hospital" )
Bank details: Account name: Alumni Association of Smt. Kashibai Navale Medical College & General Hospital Account No:025120100000 211
Bank name: The Thane Janata Sahakari Bank Ltd
Branch: Pune Ext Counter 2, Narhe
IFSC code: TJSB0000025
Account type: Current
1. Form should only be submitted online
2. Hard copy should not be sent.
3. Mere submission of form does not guarantee membership of “ALUMNI ASSOCIATION OF SMT. KASHIBAI NAVALE MEDICAL COLLEGE & GENERAL HOSPITAL, PUNE”.
4. The Alumni association reserves complete rights of admission.
5. Membership shall be confirmed only on receipt of membership fees.