UASB Alumni Association

Membership Form

Membership Application Form 2025

TO,

THE SECRETARY
Alumni Association
University of Agricultural Sciences
Hebbal, Bengaluru- 560024

Affix Photograph (Instructions: Less than 1MB size is valid)

Dear Sir,

I hereby apply for admission as Life Member/Associate Member/Institutional Member of the Alumni Association, University of Agricultural Sciences, Bengaluru. I Graduated from the College of

In The Year

by obtaining degree of

I have read the constitution and rules of the Association and agree to abide by them, if admitted.

I am enclosing here with a Sum of Rs.

in Cash/DD Number

dated

being the Membership Fee.

I have already paid the membership fee of Rs

through UAS, Bengaluru vide SL. No

ID No.

of College

for the year

under student category.

APPLICANT'S PARTICULARS

Full Name *		DOB *
Address *	Office	Residence
Address *	Street Street 2 City State Postal/Zip Country	Street Street 2 City State Postal/Zip Country
Correspondence Preferred
Phone Number	Office	Residence	Mobile
Phone Number
Email Address	Email Id	Alternate Email
Email Address
Qualification		Profession
Name of Proposer		Signature of Proposer

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Important Note!

1. New members shall pay the applicable fees only after approval of membership by the Secretary, Alumni Association.

2. Life/Associate Membership fee Rs. 500/- +Entrance fee Rs. 10/-

3. Institutional Membership fee Rs. 5000/- +Entrance fee Rs. 10/-

4. Enclose two Passport size Photographs

UASB Alumni Association

Membership Form

Membership Application Form 2025

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UASB Alumni Association

Membership Form

Membership Application Form 2025

APPLICANT'S PARTICULARS

SOCIAL MEDIA DETAILS

VERIFICATION

Recent Comments

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