Annamalai University Alumni Association

(Singapore Chapter)

MEMBERSHIP APPLICATION FORM

    Name

    Date of Birth

    NRIC No

    Year of Graduation

    Degree / Branch

    Address

    Tel (H)

    Tel (H/P)

    Email

    Company Name

    Company Phone

    MEMBERSHIP TYPE

    (SUBSCRIPTION FEE $250, CHEQUE TO BE ISSUED IN FAVOUR OF)

    ANNAMALAI UNIVERSITY ALUMNI ASSOCIATION

    Others (Hobby, Etc)

    Introduced by Name / Year

    SIGNATURE & DATE

    Council Approved Date

    President Sign

    Declaration: I have graduated from Annamalai University in the year and Branch of study as stated above. I have received a copy of the constitution of Annamalai University Alumni association and fully agree to abide by its rules & regulation.