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On Line Registration Form
(Please Fill up this and Submit)

Name:
Courses studied in the College:
Years of Study:
Present Position:
Present Address:
Permanent Address:
Phone Numbers:
E-Mail ID:
Details of Registration fee/Annual Subscription/Life Membership paid*:
Amount (Rs.):
DD No.:
Drawee Bank:
Date:
Any message you wish to Send:

Registration Fee : Rs. 100/-
Annual Subscription : Rs. 50/-
Life Membership : Rs. 1000/-

Please send the DD drawn in favour of
"Alumni Association, St.Joseph's College, Devagiri, Calicut - 673 008", payable at Calicut to

Mr. K V Chacko
Secretary, Alumni Association
St. joseph's College
Devagiri, Calicut
INDIA, PIN - 673 008