IHM CHENNAI ALUMNI ASSOCIATION

Institute of Hotel Management Catering Technology & Applied Nutrition

CIT Campus : Chennai.600113 Ph: 22542029 : Telefax: 044-22541615

Email : ihmalumini@yahoo.co.in

REGISTRATION FORM

Name : Mr/Mrs/Miss._______________________________________

Course studied : 3-Year DHMCT or B.Sc(H&HA) : ____________________

Other courses : _____________________________________

Year of study : __________________________________________________

Address for : _________________________________________________

Communication

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PIN CODE: _________________

Ph. No. with STD code : Off: _____________________ Res: ____________________

: Mobile: _____________________.

Email ID : __________________________________________________

Current Profession : __________________________________________________

with full address

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__________________________________________________

Date: ____________. Signature: ______________________________

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For office use

Received Rs.250.00 (Registration-Rs.150.00 one time payable & Subscription-Rs.100-00 p.a.) paid by Cash/ Cheque/D.D. No.___________________ dated ______________________ drawn in favour of “IHM CHENNAI ALUMNI ASSOCIATION” vide Receipt No.______________ dated __________________.

[For NRIs US $25.00 - (Registration fee-one time payable - US $15.00 & Subscription - US $10.00 p.a.)]

Lifetime subscription – Rs.2,500.00 (For NRIs US $100)

STAFF INCHARGE. TREASURER / SECRETARY PRESIDENT

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