Online Registration Form

Membership Type : Yearly    Lifetime

First Name *:

Middle Name:
Last Name *:

Date of Birth:

Date of Marriage:

Name of Spouse:

Name of Children:

Date of Birth:

Years in School:*
From: To:

Batch (ICSE/ISC/JED): *

Educational Qualification: *

Profession: **

Address: *

Email Id: *


Password: *

Mobile: *

Upload Recent photo: *

Upload Payment Slip:

 

Annual Membership

₹ 500

Life Membership

₹ 5000

Associate Membership For 5 Years ( For Fresh Passout From 2010-2015 )

₹ 1000

Reunion Charges

₹ 2000
Spouse & Children :- ₹ 500 per head
Reunion Charges For Fress Passout
( 2011-2015 ) :- ₹ 1000

Bank Details

Name of Account Holder :
St . Vincent's Asansol Alumni Association
Name of Bank : AXIS Bank , Asansol Branch.
Bank Address: Apurba Complex, Apcar Garden, Sen Raleigh Road, Asansol - 713304
Branch Code : 150
Account No. : 911010052553574
IFSC Code : UTIB0000150
Swift Code : AXISINBB005