Reg Form
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Let u(Please Name: Maide Curren Years _____ Your m Phone Email Emplo Your J What _____ _____ Please _____ _____ _____ _____ Can th Would Are yo
us know whate fill in capital lett : ___________
en Name (if any):
nt Address: _____ _____
City: _____
State: _____
Zip Code: __
you attended HCC
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major (Current Hi
_______
e Number: _______
Address: ___
oyers Name & Add
Job Title: ______
else have you been
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e share your fondes
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his information be
d you like to receiv
ou interested in vo
t you've beenters as it will be leg
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CS, and passed SS
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ighest Qualificatio
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dress: __________
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n doing since leavin
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st memory of HCC
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used in the Alum
ve updates/informa
olunteering with th
HCC
Alumni Infor
doing... gible for reading a _______________
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SC in (year):
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on): ____________
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ng HCCS?
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CS:
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ni Newsletter (if a
ation about happen
he Alumni Associa
CS Reunites…
rmation Requ
and future usage) _______________
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any)? Y ( ) N ( )
ning of association
ation? Y ( ) N (
….
uest Form
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)
n & HCCS? Y ( )
)
If yes then t
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N ( )
turn over…
(For Official Use)
(Your Views are important to us, so please make sure you fill this part with utmost sincerity.)
I think I am good at …..
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
I am ready to offer this help…..
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
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I suggest we can do the following …..
1. _________________________________________________________________________________________________
2. _________________________________________________________________________________________________
3. _________________________________________________________________________________________________
4. _________________________________________________________________________________________________
Maybe this information can help……
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
I am ready to contribute financially to the association Yes ( ) No ( )
Amount I can contribute annually: Rs. __________________________________________________________________________
I can attend meetings, follow up sessions of the association Yes ( ) No ( ). If yes a feasible time: ____________________________
I will attend events, parties, get togethers once organized. Yes ( ) No ( ).Suggest a particular day/month:
__________________________________________________________________________________________________________
Other suggestions/requests if any:
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
… End …
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