Indian School of Mines Alumni Association (ISMAA) Kolkata Chapter

Ex- Student/Faculty Member

Ex-Student/ Faculty Member (FORM: A)

Note: We welcome you to be a member of our association. If you have already passed out or a faculty member of ISM of now renamed IIT ( ISM), Dhanbad staying
in and around Kolkata, West Bengal, you are primarily eligible to become member of our association. Please introduce yourself just by filling up the form below:

Prefix : *

Name : *

Year of Passing :

Stream: *

ISM Admin No. :

You are Staying at:

Company Affiliated with:

Year of Retairment :

Your Mobile No. : *

Your Email No. : *

Ref. Member's Name :

Ref. Member Mobile No :

About You :

To the Secratory I am interested to be a member of the association and therefore requesting you to contact me over mobile/Email. Please allow me to join

Ex- Student/Faculty Member

1) Intend to become Member.
2) Already Initiated & Waiting for Admin Approval

Ex-Student/ Faculty Member (FORM: A)

setting color

Ex- Student/Faculty Member

1) Intend to become Member. 2) Already Initiated & Waiting for Admin Approval

Ex-Student/ Faculty Member (FORM: A)

setting color

1) Intend to become Member.
2) Already Initiated & Waiting for Admin Approval