Membership Request Form

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Only Ex-Students of KV CRPF MOKAMAGHAT are eligible for Membership

Name *

Batch-Year (YYYY)* Batch-Year means, the year when one passed Class 12th (or would have passed Class 12th if not shifted from the School). E.g. in case Mr A studied till class 9th in the School and then shifted to some other place, but his other batch-mates passed class 12th in say 1992, then Mr A's batch year is 1992. *

Phone Numbers *

Email-ID *

Date of Birth *

YYYY

Current Location *

Postal Address (Please give your complete Postal Address) *

Occupation *

Joining-Year (Year of Joining this KV) *

Joining-Class (Class in which you joined in the above Year) *

Leaving-Year (Year of Leaving this KV) *

Leaving-Class (Class in which you were when left this KV in above Year) *

Any additional Information / Comments / Remarks you would like to share *

Known Existing Members (Please name a few existing members with their batch-year, who know you. This information will be used for verification) *

Ex-Student *

I hereby reconfirm that I am an Ex-Student of KV CRPF MOKAMAGHAT

Required

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