Central University of Tamilnadu Alumni Association (CUTNAA) - (Reg. No. SRG/Thiruvarur/11/2022 dt.27.06.2022)- Registration form for Donor Members

The Honorary members, Faculty members, Alumni members, non-alumni members, Governments, Universities and other institutions, philanthropists, and public can donate funds/gifts to achieve the objective of the Association. Donations can be made in any quantity, however if you want to join the association as a bronze, silver, gold, or platinum donor member, please make the donations listed below. For documentation, donor members are asked to complete the Google form below. You must enter the fund transaction number while completing the form.

·         Bronze Member: Rs.5,000/ - Rs. 49,000/-

·         Silver Member: Rs. 50,000/-

·         Gold Member: Rs.1,00,000/-

·         Platinum Member: Rs.2,00,000/-

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Title *
Full Name with Initial (in CAPITAL Letters)
 *
Last Name/ Expansion of Initial/ Father's Name 
 *
Designation *
Gender *
Date of Birth (DD/MM/YYYY) *
Highest Degree obtained from Central University of Tamil Nadu (Ex:- iMSc Chemistry, MA English, PhD pursuing, etc.) Its applicable to only Alumni (Others fill NA below)
 *
Duration of Study/work in CUTN (Ex. 2010-2015; 2010-till date) *
Name of the Department *
Amount Paid (in Rs.)

 *
Amount Paid for....... (Please mention in the others column if you donate for specific activity/mission) *
Paid via *
Transaction ID (Donor members are requested to enter the fund transaction ID/reference number/cheque No. to fetch your details) *
Present Occupation *
Brief information about your present professional/occupation/position (optional)
National ID proof *
National ID Number *
Designation with Official Address :
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Address for Correspondence (Permanent Address)
 *
Phone number (with WhatsApp number would be preferred) *
Email id *
Note:
Donor members are requested to send a passport size photo to alumnicutn@gmail.com with your name for printing a membership card/keep in archives. Also, please feel free to contact the same email id if you need further clarification.
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