ALUMNI
ASSOCIATION OF THE DEPARTMENT OF LIBRARY AND INFORMATION
SCIENCE (AADLIS)
University of Kerala
University Library Building, Palayam,Thiruvananthapuram-695034
Phone- 2478034
APPLICATION FOR MEMBERSHIP
1
Name in full (in block letters):
2 Age & Date of birth:
3 Year(s)and course(s )of study (undertaken in the
Department ) :
4 Educational Qualification (Academic / Professional):
5 Details of other qualification in Library Science
(Year, Course, Institution etc. ):
6 Present Occupation (Designation):
7 Name of present appointment:
8 Name of the parent department (if applicable):
9(a) Present official address (with phone,fax,e-mail
):
(b) Residentaial address(with phone,fax,e-mail ):
(c) Preferred address for communication Official /Residence:
10.Family Details(to inculcate a feeling of oneness
among the members(information on Spouse, Children
and/ Parents )
| Name |
Age |
Present
occupation |
| |
|
|
DECLERATION
I,
----------------------------------------- hereby undertake
to abide by the rules and the bylaws of the Association,
if I am admitted to the Association. I am forwarding
with a cheque/ cash for Rs. ------------------------
being for admission and membership fees in advance
Place
:
Date :
Signature
of the Applicant
Admission
Fee Rs.10/- Life Membership Rs.250/-- Photograph-available
size
Proposed
by :------------------
(For
office use only)
Placed
before the Executive Committee meeting held on --------------.
The application is accepted/rejected/deferred.
(SECRETARY
)
(PRESIDENT)
