SNS COLLEGE OF TECHNOLOGY, COIMBATORE – 641 035
SNSCT ALUMNI ASSOCIATION MEMBERSHIP FORM
(Alumni are requested to fill this membership form and send it to the following e-mail id :
This email address is being protected from spam bots, you need Javascript enabled to view it
&
This email address is being protected from spam bots, you need Javascript enabled to view it
)
1. Name : Mr/Ms. _________________________________
2. Course Completed : Degree: _____________ Branch: ____________
3. Period of Study : From _______________ To ____________
4. Gender : Male Female
5. Date of Birth :
6. Marital Status : Married Unmarried
7. Your present position : Employed Entrepreneur Higher Education
Others (please specify) ______________________
7.1. If employed, furnish the following details:
a. Organization name with address : ________________________________________
________________________________________
________________________________________
b. Phone number with STD Code : ________________________________________
c. Mobile Number : ________________________________________
d. Experience Elsewhere : ________________________________________
(If applicable)
7.2 If you are an Entrepreneur please furnish the following details:
a. Organization Name : ________________________________________
b. Address : ________________________________________
_________________________________________
c. Phone Number with STD code : ________________________________________
7.3 If studying please furnish the following details:
a. Course of Study : ________________________________________
b. Institution : ________________________________________
c. Address of the Institution : ________________________________________
________________________________________
________________________________________
d. Phone Number (with STD code) : ________________________________________
8. Address for Communication : ________________________________________
________________________________________
________________________________________
________________________________________
Phone Number (with STD code) : ________________________________________
9. Permanent Address : ________________________________________
________________________________________
________________________________________
________________________________________
10. Please give your feed back for further improvement of the Department / College
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
11. Please render your valuable suggestion to the Alumni Association
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
SIGNATURE
Alumni 
