ALUMNI ASSOCIATION

ALUMNI ASSOCIATION OF SMT. KASHIBAI NAVALE MEDICAL COLLEGE & GENERAL HOSPITAL, PUNE

APPLICATION FOR MEMBERSHIP

Personal Current Details


For Alumni Students (MBBS/Intern/PG student)

If Yes give details:

For Faculty

Payment details: (for office use only)

Category of membership

Patron member / Donor member / Life member / Affiliate Life member / Graduate Associate member / Student member / Honorary member

74036

(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

Note:
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.