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VETERINARY COLLEGE ALUMNI ASSOCIATION, KERALA Mannuthy. P.O, Thrissur-680651
1. Name :........................................................................................................... 2. KVC Registration No: :.......................................................................................................... 3. Residential Address : .......................................................................................................... .......................................................................................................... .......................................................................................................... Tel. No: .............................................................................................. Mobile No: ......................................................................................... 4. Official Address : ............................................................................................................ ........................................................................................................... ........................................................................................................... Tel. No: .............................................................................................. 5. Year of graduation / Post graduation : ............................................................................................... 6. Particulars of admission fee : ...............................................................................................
Date: .................... Signature: .................... Name : .................... __________________
OFFICIAL USE
Admission No:........................................................Date of Registration: ........................................................ Remarks: ....................................................................................................................................................... ..................................................................................................................................................................... .....................................................................................................................................................................
Signature of the General Secretary / Joint Secretary ..............................................................................&........................................................................................
Temporary Receipt Received From..................................................................................................................................the sum of Rs...................................................towards the membership fee / admission fee to the Veterinary College Alumni Association, Kerala.
Date:................................... For Secretary / Treasurer |