CHENABIAN ALUMNI ASSOCIATION MEMBERSHIP FORM

PERSONAL INFORMATION

Mr./Mrs./Ms.

Full Name (as per CNIC)

Father’s Name (as per CNIC)

Gender

Male

Female

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Student of CCJ From

To Year

Date of Birth (as per CNIC)

Email (enter correct for verification)

Mobile No.(s)

Phone No. (Residence)

Computerized NIC No.

Address

City

State

Zip Code

Country

What degree attended in CCJ (last degree)?

Interest/Hobbies

PROFESSIONAL INFORMATION:

Please fill the form

Profession (Level 1)

Profession Skill (Level 2)

Awards

Civic Clubs/Organizations of which you are a member

Name of Present Organization you work in

Designation

Briefly state your kind of job

Office Phone No.

Office Fax No.

Office Address:

Address

City

State

Zip Code

Country

ACADEMIC INFORMATION

Please fill the form

What degree(s) were attained at CCJ?

Name of Hostel/s you resided at CCJ?

Highest degree earned in academic career

Names of academic institutions you have been studying

No.1 Academic Name

No.3 Academic Name

No.2 Academic Name

No.4 Academic Name

Where would you like to receive your mail?

Office

Home

Relative Names and Mobile Numbers

No.1 Full Name

No.2 Full Name

No.3 Full Name

No.4 Full Name

No.5 Full Name

No.1 Mobile Number

No.2 Mobile Number

No.3 Mobile Number

No.4 Mobile Number

No.5 Mobile Number

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Easypaisa Details:

Payable Amount: PKR 2000 (Lifetime Fee)
Account Title: Muhammad Usman
Account Number: +92 336 7863579

I have sent “EasyPaisa“ on WhatsApp same as above account number.

Electronic Proof of membership fee slip via picture

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Electronic Signature

Terms and Conditions Apply: I hereby apply for membership for in the Chenabian Alumni Association and affirm that the information provided by me is true to the best of my knowledge and belief. I realize that any falsification or misstatement in the said information will make me liable for the disqualification/dismissal from the membership.

MISSION STATEMENT:

The association shall arrange educational, social and cultural functions on the college premises where
Old Chenabians shall meet.
The association shall represent the views ofthe alumni, assist and advise the College in a number ofkey activities
including student recruitment, career development and the College’s strategic objectives,
The association shall promote a beneficial relationship between the College, its alumni and other interested
persons for academic, professional and social reasons,
It Shall collect the contributions (funds) from the Old Chenabians which Shall be used for the development Of
institution.
It shall strengthen and support the effectiveness, membership and activities of the recognized alumni groups and
promote activity between them.
It shall raise the profile of the alumni in the environment of the College and the wider community.
It shall advance the College’s presence nationally and internationally and shall protect the reputation and the brand
Of the College at all times.