Membership Registration Name*Email address*Phone Number*Date Of BirthPlace Of BirthNationalityPresent Citizenship StatusMembership category(Tick anyone)*Patron(Rs.25,000)Donor(Rs.10,000)Life Member(Rs.2,500)Associate Members(Rs 2,500)Fresh Graduates(Rs.1,000)Note: Cheque / DD to be drawn in favour of “University of Mysore Alumni Association” A/c No. 54007591710 at State Bank of India, University of Mysore Branch, Mysore- IFSC Code: SBIN0040059Proof of Identity and Proof of Address*Please selectAadhaar cardPAN CardPassportEnter the selected document number*Upload the document*Graduation details- upload degree certificate*Present / Immediate Past positionAddress OfficeResidenceSubmitThis field should be left blank
