Application

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:	Vinod Kumar Shirvastava
2. Father’s/Husband’s Name:	Late Dr. Dineshchandra Shirvastava
3. Date of Birth:	1962-12-05
4. Blood Group:
5. Qualification:	B.Sc.
6. In which year studied in the college:	1981
7. Year of Final Examination:
8. Current Position/Business:	SDO
9. Office / Name of the establishment:	PWD
10. Residence address:	Mr. Vinod Kumar ShrivastavaE-1 Rishi Valley, Vaishali Nagar, Bhopal
11. Phone No:
12. Mobile No:	9425004407
13. Email:
14. How can you help in the development of the college:

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