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To,
THE SECRETARY

Alumni Association
University of Agricultural Sciences
Bagalkot- 587 104.

Dear Sir,

I hereby apply for admission as Life Member/Associate Member/Institutional Member of the Alumni Association, University of Agricultural Sciences, Bagalkot. I Graduated from the college of

College Name

In the year

by obtaining degree of

I have read the constitution and rules of the Association and agree to abide by them, if admitted.

I am enclosing herewith a sum of Rs.

in Cash / DD No

Dated

(being the Membership Fee.)

I paid the membership fee of Rs

(through UAS, Bagalkot vide)

ID No.

of College of

for the year

(under student category.)

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