AIPAA

All India Pant Nagar Alumni Association (Regd.)

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Form for enrolment of Membership:

Important Note
AIPAA New Membership Form: Important Note:
Cheque/Demand Draft in favour of "AIPAA" should be send to:

General Secretary-AIPAA,
E-27, Defence Colony,
New Delhi-110024.

Please fill form carefully.

    Personal Details
Name:   
College:   
ID No.:   
Batch (Joining):   
Residence Address:   
Telephone(R):   
Mobile No.:   
    Official Details
Organisation:   
Designation:   
Office Address:   
Telephone(Office):   
Email Address:   

 
    Payment Details
Cheque/Demand Draft No.:   
Date:   
Bank Name:   
Branch:   
I undertake to abide by the rules and regulations of the association. I shall inform you any changes in my address.