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TERI ALUMNI ASSOCIATION MEMBERSHIP APPLICATION FORM
Darbari Seth Block, India Habitat Centre, Lodhi Road, New Delhi 110003
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Full Name
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Your answer
Office Address
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Residence Address
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Telephone (Landline)
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Mobile Number
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Preferred email address
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Your answer
Details of your association with TERI (e.g. duration of service, area/division, position etc.)
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Your answer
Name of the organization and designation/roleCurrently employed / associated with
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Your answer
Served TERI From(Date)
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DD
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YYYY
Served TERI To(Date)
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MM
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DD
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YYYY
Declaration
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I served in TERI as a regular employee as mentioned above. I understand that the final decision for accepting membership vests with the Association and such decision would be binding on me
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