GeMS - Registration Form
Alumni - Department of Marine Geology and Geophysics
Name *
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Date of Birth *
MM
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YYYY
Institution/Organization *
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Official Address
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Permanent Address
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E-mail *
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Mobile Number
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Course *
Year of admission *
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Membership Type *
Details of Registration fees *
Registration Fee through Online Transfer/D.D or Direct cash payment. For Online transfer account details of GeMS (Account Number :- 014800100162464, DHANLAXMI BANK, BRANCH: KALOOR, IFSC CODE DLXB0000148 ) or Demand Draft drawn in favour of "Alumni Association of Dept. of Marine Geology and Geophysics, CUSAT and payable at Cochin. Life Time membership- 5000/- , Annual membership- 1000/-. Student membership - 150/-
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