UASB Alumni Association

Registration Form



USE CAPITAL LETTERS ONLY


Preview


(ATTACH /SCAN BUSINESS CARD –OPTIONAL)

* If Available. Will Be Generated At UASB’AA Secretariat


OFFICE


RES


MOBILE


GRADUATION AT UNIVERSITY OF AGRICULTURAL SCIENCES – BENGALURU


FAMILY DETAILS (optional)


I confirm my /our participation

Registered Member – Rs.1,000/- Plus Per Each Accompanying Family Member – Rs 500/- Only. Registered Student Member – Rs. 500/- Only

Remit Registration Fee plus Generous Contribution through Bank Transfer - RTGS / IFSC / NEFT CODE CNRB0002737 CREDIT TO Canara Bank, GKVK Campus, Jakkur, Bengaluru-560065. Savings Bank A/c Name: GLOBAL ALUMNI MEET-2015 A/C NUMBER_2737101016495 International Remittance – Details of Swift Codes Provided Separately for various currencies. Pl consider to add Bank Charges for remittance.



Verification


Please enter any two digits*

Example: 12