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Let u(Please Name: Maide Curren Years _____ Your m Phone Email Emplo Your J What _____ _____ Please _____ _____ _____ _____ Can th Would Are yo

us know whate fill in capital lett : ___________

en Name (if any):

nt Address: _____ _____

City: _____

State: _____

Zip Code: __

you attended HCC

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major (Current Hi

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e Number: _______

Address: ___

oyers Name & Add

Job Title: ______

else have you been

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e share your fondes

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his information be

d you like to receiv

ou interested in vo

t you've beenters as it will be leg

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CS, and passed SS

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ighest Qualificatio

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dress: __________

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n doing since leavin

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st memory of HCC

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used in the Alum

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Alumni Infor

doing... gible for reading a _______________

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on): ____________

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ng HCCS?

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CS:

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ni Newsletter (if a

ation about happen

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CS Reunites…

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and future usage) _______________

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any)? Y ( ) N ( )

ning of association

ation? Y ( ) N (

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uest Form

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n & HCCS? Y ( )

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If yes then t

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N ( )

turn over…

(For Official Use)

(Your Views are important to us, so please make sure you fill this part with utmost sincerity.)

I think I am good at …..

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I am ready to offer this help…..

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I suggest we can do the following …..

1. _________________________________________________________________________________________________

2. _________________________________________________________________________________________________

3. _________________________________________________________________________________________________

4. _________________________________________________________________________________________________

Maybe this information can help……

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I am ready to contribute financially to the association Yes ( ) No ( )

Amount I can contribute annually: Rs. __________________________________________________________________________

I can attend meetings, follow up sessions of the association Yes ( ) No ( ). If yes a feasible time: ____________________________

I will attend events, parties, get togethers once organized. Yes ( ) No ( ).Suggest a particular day/month:

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Other suggestions/requests if any:

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… End …

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