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VAIKUNTH MEHTA NATIONAL INSTITUTE OF
CO-OPERATIVE MANAGEMENT, (VAMNICOM)
Ministry of Agriculture & Cooperation, Govt. of India
Chaturshringi, Savitribai Phule Pune University Road,
Pune – 411007 Maharashra, India
Tel No. 020-66221400 Telefax: 020-25537726
VAMNIAN VAMNICOM ALUMNI
LIFE MEMBERSHIP FORM
I, Shri/ Smt. ……………………………………………………………………………………………S/o, D/o, W/o
Shri …………………………………………………………………………………………………………......do hereby
subscribe to VAMNIAN VAMNICOM Alumni, Pune and wish to become a Life Member
by paying a sum of Rs. 1000/- (Rupees One thousand only) further certify that the
particulars given below are true.
1. Name (in block letter) ………………………………………………………………………………………………
2. Address (Present) …………………………………………………………………………………………………….
……………………………………………………………………………………………………………………………………….
3. Contact No. (Phone/FAX/Mob) ………………………………………………………………………………..
Email ……………………………………………………………………………………
4. Blood Group ………………………………………… Aadhaar Card No. ……………………………………
5. Date of Birth ………………………………………. Year of entry in VAMNICOM ……………………
6. Permanent Address ………………………………………………………………………………………………….
……………………………………………………………………………………………………………………………………….
7. Occupation / Designation / Position/Profession ………………………………………………………
Date: ………………………… ……………………………………………………….
(Signature of the applicant)
N.B. Membership fees may be paid by Demand draft in favour of “VAMNIAN
VAMNICOM ALUMNI” or payable through NEFT - Name of the Bank: ICICI Bank,
Name of the Accountholder: VAMNIAN VAMNICOM ALUMNI, Account No. / Type:
003901238906/ Savings, Branch: Shivajinagar Branch, IFSC Code: ICIC0000039.
Email: alumni@vamnicom.gov.in Website: www.vamnicom.gov.in

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Life Membership Form for Alumni of VAMNICOM

  • 1. VAIKUNTH MEHTA NATIONAL INSTITUTE OF CO-OPERATIVE MANAGEMENT, (VAMNICOM) Ministry of Agriculture & Cooperation, Govt. of India Chaturshringi, Savitribai Phule Pune University Road, Pune – 411007 Maharashra, India Tel No. 020-66221400 Telefax: 020-25537726 VAMNIAN VAMNICOM ALUMNI LIFE MEMBERSHIP FORM I, Shri/ Smt. ……………………………………………………………………………………………S/o, D/o, W/o Shri …………………………………………………………………………………………………………......do hereby subscribe to VAMNIAN VAMNICOM Alumni, Pune and wish to become a Life Member by paying a sum of Rs. 1000/- (Rupees One thousand only) further certify that the particulars given below are true. 1. Name (in block letter) ……………………………………………………………………………………………… 2. Address (Present) ……………………………………………………………………………………………………. ………………………………………………………………………………………………………………………………………. 3. Contact No. (Phone/FAX/Mob) ……………………………………………………………………………….. Email …………………………………………………………………………………… 4. Blood Group ………………………………………… Aadhaar Card No. …………………………………… 5. Date of Birth ………………………………………. Year of entry in VAMNICOM …………………… 6. Permanent Address …………………………………………………………………………………………………. ………………………………………………………………………………………………………………………………………. 7. Occupation / Designation / Position/Profession ……………………………………………………… Date: ………………………… ………………………………………………………. (Signature of the applicant) N.B. Membership fees may be paid by Demand draft in favour of “VAMNIAN VAMNICOM ALUMNI” or payable through NEFT - Name of the Bank: ICICI Bank, Name of the Accountholder: VAMNIAN VAMNICOM ALUMNI, Account No. / Type: 003901238906/ Savings, Branch: Shivajinagar Branch, IFSC Code: ICIC0000039. Email: alumni@vamnicom.gov.in Website: www.vamnicom.gov.in