Ananda College Old boys’ Association- United Arab Emirates
MEMBERSHIP APPLICATION
Please write in block letters
Surname
Forenames
Full Name
Residential Address (UAE)
Telephone (Residential)
E-mail
Emirate
Abu Dhabi
Ajman
Dubai
Fujairah
Sharjah
Ras Al Khaimah
Umm Al Quwain
Profession
Designation
Office Address (including name of employer)
Telephone (office)
Address and Contact Number in Sri Lanka
Educational/Professional Qualifications
---Period in College---
From
To
When did you first sit for G.C.E.(O/L) Examination?
Year
When did you first sit for G.C.E.(A/L) Examination?
Year
Period in Hostel (if applicable)
From
To
School Admission No.(if available)
Did you participate in any extracurricular/sports activities? (If so please give details.)
Date of Birth
Referees
Name
E- mail
Membership No
Payment details
Payment Type
Cash
Cheque
Money Order
Postal Order
Bank Transfer
Amount Dh.
Cheque/Money Order/Postal Order No./Bank Transfer Ref@ (if applicable)
I hereby agree that on my election as a member of the Ananda College OBA- United Arab Emirates, I will abide by the constitution of the Association.
Agree