IIMC ALUMNI ASSOCIATION 

IIMC
Aruna Ali Marg, 
JNU New Campus 
New Delhi-110067 
                                                    Membership Form 


Name ………………………………………………… 

Course pursued at IIMC....................……………
 
Year of passing out..........2001...............

Mailing Address.. …………………………………………………
 



Present Position................................... 




Name and address of Organisation you are working with 



Phones: office..................... Res......................... Mobile......... 


Fax (if any)........................... 




E-mail Address (official).........................................
 



(Signature)