Application Form For Life Membership

Name (in Block Letters)

Father's Name

Attended St. Xavier's School from

To (Year)

Studied From STD

To STD

Passed School in the Year: BATCH

Address for Communication Pin Code

Permanent Address Pin Code

Phone(O)

(R)

Phone(O)

(R)

Mobile

Fax

E-Mail

Present Occupation

Blood Group

Date of Birth

Date

Fees (Below amount excluding payment charges+GST):

2000/- for passing out batch (2024 batch)

3000/- upto 5 years (2019 batch to 2023 batch) / for silver jubilee batch or who have completed silver jubilee (1975 batch to 1999 batch)

5,000/- for others and late comers (Discounted fees for Platinum Jubilee Celebration Year - 2000 to 2018 batch) 0/- Fees has been waived off for golden jubilee batch or who have completed golden jubilee (1974 batch and older)

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Terms and Conditions:

Once form is submitted you will recieve email copy of registration form.
Acceptance of fees along with this form does not mean that membership has been approved. The same is refundable till the time the applicant is not made a member.
Eligibility: Please- see constitution
Payment charges + GST will be included at the time of payment
Please contact Alumni Office or Secretary for any questions.