LADY BRABOURNE COLLEGE ALUMNI ASSOCIATION

 P1/2 SUHRAWARDY AVENUE, KOLKATA 700 017, PHONE: 2289 7720
     
FULL NAME :  
     
SIGNATURE :  
     
ADDRESS :  
     
     
     
TELEPHONE NO. :  
     
YEARS IN COLLEGE : 20______ to  20______
     
OCCUPATION :  
     
     
  REGISTRATION FEE : Rs. 25.00 (Upon becoming a member)
  ANNUAL MEMBERSHIP FEE : Rs. 75.00
  LIFE MEMBERSHIP FEE : Rs. 750.00
     

Cheques to be made in favour of “Lady Brabourne College Alumni Association”

Please send payment in Cash/Cheque to:
     


Treasurer

 SIULI JANA
FE- 376
SALT LAKE
KOLKATA – 700106
Phone: (033) 2337 3007
Mobile: 9836919240
 


Assistant Treasurer

 ATREYI BASU
14 A, ANIL ROY ROAD,
KOLKATA – 700 029
Mobile: 9830812338
     
Date: ____________________
 


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