ST.MARY'S H. SCHOOL PONDA,"EX-STUDENTS ASSOCIATION": UPDATED MEMBERSHIP REGISTRATION FORM

PREAMBLE

FORMER STUDENTS OF ST MARY’S HIGH SCHOOL, PONDA, WHO HAVE BEEN PRIVILEGED TO STUDY IN THIS PRESTIGIOUS SCHOOL, WOULD LIKE TO PLACE ON RECORD THEIR APPRECIATION AND GRATITUDE TO THE FRANCISCAN HOSPITALLER SOCIETY FOR IMPARTING GOOD EDUCATION BASED ON SOUND MORAL VALUES IN PREPARING THEM FOR LIFE. TO PERPETUATE THIS LEGACY AND TO UNITE THE EX-STUDENTS IN A COMMON BOND, IT WAS DECIDED TO BRING TOGETHER ALL THE FORMER STUDENTS UNDER ONE BODY. INSPIRED BY THE MOTTO, THE MEMBERS OF THIS EX-STUDENTS ASSOCIATION WILL STRIVE TO GROW TO THEIR FULL POTENTIAL TO MAKE THIS WORLD A BETTER PLACE.

Saturday, July 24, 2010

UPDATED MEMBERSHIP REGISTRATION FORM

ST MARY’S HIGH SCHOOL, PONDA
EX-STUDENTS ASSOCIATION
PONDA – GOA
Reg. No : 558/Goa/2009 dated 03rd September , 2009
Motto of the Association : “Where there is good to be done, do it”

REGISTRATION FORM
REGISTRATION FORM

I, wish to
register my name as PM / LM / RM /SM of the Ex- Students Association.
Total years spent in School

Last Class Attended & Academic year (e.g. 2009-10)

Date of Birth ( e.g 18th September )

Address of the Candidate

Profession
Office Address

Phone /Mobile
Email

Signature
Dated
------------------------------------------------------------------------------------------------------------FOR OFFICE USE ONLY
Type of Membership: _________________________
Membership No : _________________________
Receipt No. & Amt : _________________________
Membership Registration Amount
1) Patron Member (PM) : 5000/-
2) Life Member (LM) : 1000/-
3) Regular Member (RM):{ 400/- [Registration 200/-& Bi-annual fee 200/-}
4) Student Member (SM)** : 50/-for Transition period of 5 years after school

Local Cheque/DD to be drawn in favour of “ ST MARY’S HIGH SCHOOL, PONDA
EX-STUDENTS ASSOCIATION ” , payable at Ponda - Goa
N.B: Online payment can also be made in
“ST MARY’S HIGH SCHOOL, PONDA EX-STUDENTS ASSOCIATION”,
Savings Bank Account No 30878970374
STATE BANK OF INDIA , PONDA-GOA
Additional Information of SBI Ponda Branch
BRANCH CODE : 557
EMAIL ID : sbiponda@sancharnet.in
SBI Landline : 0832- 2313067 , 2866
Feel free to drop in your queries @
1) Mr. Vikas K.Chodankar 2) Mr. Nikhil S. Bhingarde
President, Ex-Students Association Secretary , Ex-Students Association
2010-2012 2010-2012
Email : vikas.gec5@gmail.com Email: niks.2008@rediffmail.com
Mobile : 9545425151 9158286979

Completed Form & Registration amount may please be sent to the Secretary/President & email them about the same
** Decided & Ratified in the 1st Regular Meeting held on 20th September 2009