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IHM CHENNAI ALUMNI ASSOCIATION
Institute of Hotel Management Catering Technology & Applied Nutrition
CIT Campus, Tharamani PO Chennai.600113 
Ph: 044-22542029 : Telefax: 044-22541615 

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REGISTRATION FORM

 

Name                                : Mr/Mrs/Miss._______________________________________

 

Course studied                  : 3-Year DHMCT  or  B.Sc(H&HA) : ____________________

                                           Other courses : _____________________________________

 

Year of   study                  : __________________________________________________

 

Address for                      :  _________________________________________________

Communication

                                                    _________________________________________________

 

                       

                                           PIN CODE: _________________

 

Ph. No. with STD code   : Off: _____________________ Res: ____________________

 

                                       : Mobile: _____________________.

 

Email ID                          : __________________________________________________

 

Current Profession           : __________________________________________________

with full address          

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Date: ____________.                            Signature: ______________________________

 

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For office use

 

Received   Rs.2,000/-  (Rupees two thousand only) towards  Renewal/Lifetime membership subscription (one time payment) paid by Cash/ Cheque/D.D. No.___________________ dated ______________________ drawn in favour of IHM CHENNAI ALUMNI ASSOCIATION  vide Receipt No.______________ dated __________________.

[For  NRIs  US $.100/-  (One hundred dollars only) ]

 

(For passing out final years  - Rs.350/-  - (Regn. 150/- +  subscription 200/-)

 

 

 

STAFF  INCHARGE.                       TREASURER / SECRETARY                                  PRESIDENT