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OSA MEMBERSHIP REGISTRATION

OLD SPRINGDALIANS ASSOCIATION
Springdales School, Benito Juarez Marg, Dhaula Kuan
New Delhi-110021 India
Telephone: 65195050 Telefax:65195050 E-mail: OSA Office
  

LIFE MEMBERSHIP FORM
(See Article VI of the Constitution of Association)
  
Name
 :
Surname
 :
Name (As per school records) :
Surname (As per school records) :
Batch
(in case you left school earlier than graduation put year that your batch mates graduated*		  
Unit  
Year of joining school  
Class  
Year of leaving school  
Class  
Date of Birth   DATE/MONTH/YEAR
Blood Group  
Occuptaion  
Occupation Detail  
Marital Status  
Name of spouse  
Spouse School  
Date of Birth of spouse   DATE/MONTH/YEAR 
Wedding Anniversary   DATE/MONTH/YEAR 
Name of Child  

Date of Birth

   DATE/MONTH/YEAR 
Name of Child  
Date of Birth   DATE/MONTH/YEAR 
       RESIDENCE
Address :
Phone :
Mobile  
Fax :
E-mail  
       OFFICE
Address  
Phone  
Mobile  
Fax  
E-mail  
       PERMANET ADDRESS
Address  
Phone  
At which address would you like to recieve your mails  
DD/ Cheque no. drawn in favour of "Old Springdalian Association" for Rs. 1500/- & posted to the osa office (see address bove the form) along with 2 passport size photos  

I DECLARE THAT THE INFORMATION GIVEN ABOVE IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. I SHALL ABIDE BY THE RULES AND REGULATIONS AND THE CONSTITUTION OF ASSOCIATION.

NOTE: THE INFORMATION GIVEN IN THIS FORM MAY BE USED FOR THE DIRECTORY OF THE ASSOCIATION.ALSO IT MAY BE USED TO UP-DATE THE DATA WITH RESPECT TO AN EXISTING MEMBER.