REG. NO. 01/01/01/21398/2010

MOTILAL VIGYAN MAHAVIDYALAY PURV VIDHYARTHI SANGATHAN, BHOPAL

REG. OFFICE: Govt. Motilal Vigyan Mahavidyalay, Near Old Vidhan Sabha, Bhopal

Email: example@gmail.com | Website: www.example.com | Mobile: 9876543210

To,
PRESIDENT
MOTILAL VIGYAN MAHAVIDYALAY
PURV VIDHYARTHI SANGATHAN BHOPAL (M.P.)

REQESTED SIR,

I want to become a patron/ life member/ annual member of Motilal Vigyan Mahavidyalay Purv Vidhyarthi Sangathan, Bhopal. I undertake that I will abide by the rules and regulations of the organization. Will do the work assigned by the organization with full devotion and honesty. In case of violation of the rules of the organization, the organization will have full right to cancel the membership.

1. Name: Rekha Shrivastava
2. Father’s/Husband’s Name: Shri S.D. Shrivastava
3. Date of Birth: 1959-07-07
4. Blood Group:
5. Qualification: M.Sc.
6. In which year studied in the college: 1979
7. Year of Final Examination:
8. Current Position/Business: Professor
9. Office / Name of the establishment: Motilal Vigyan Mahavidyalaya Bhopal
10. Residence address: Dr. Rekha Shrivastava5, Professors colony, Bhopal
11. Phone No:
12. Mobile No: 9406540207
13. Email: rekha_shrivasta
14. How can you help in the development of the college:

______________________________________________________________________________________________

The meeting of the committee was held on date 2024-12-03 12:45:49 in which it was unanimously decided to make Rekha Shrivastava S/O / W/O Mr. Shri S.D. Shrivastava as patron/life Member/annual member.


Membership fee of Rs. was received vide Receipt No. _________________________ Dated _____________

President / Gen. Secretary