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Ivri Alumini Association Membership Form

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Ivri Alumini Association Membership Form IVRI ALUMINI ASSOCIATION MEMBERSHIP FORM SL/NO NAME DATE OF JOINING AMMOUNT(CASH/DRAFT/RECPT) PARMANENT ADDRESS VILL- DUMARAOM TOLA, 1 KUMAR.SAROJ 7/28/2012 500 (CASH) POST-TENDUNE, DISTT BHOJPUR, SATE BIHAR AMBALAVANAPURAM, AVARAIKULAM P.O, 2 AZHAHIANAMBI P 11/30/2006 500(RECEPT.NO). 373/4 (30-11-2006) KAVALKINARU VIA, TRIUNELVELI, DISTT- T.N ARUNA, CHERUMUKKU TEMPLE LANE, 3 ANISH D 8/25/2005 500(RECEPT.NO). 173/2 (26-08-2005) CHEMBUKKAUU, THRISSUR, KERALA-680121. R/O,P/O: TRENZ, DISTT 4 HAQ.ADIL ANAMUL 8/30/2011 500 (CASH) SHOPIN (J/K) KACHAKUDI, ERANJI(POST), 5 A. MANIMARAN 8/29/2008 500(RECEPT.NO). 572/6 (02-09-2008) KALLAKKURICHH (TK), TAMIL NADU 29, FIRST CROSS, KARV 6 A. MARY ANNE ROSHNI 7/29/2004 500(CASH IN BANK) 02-08-2004 VADHVPPAH Pondicherry H.NO. 747 KALYANI DEVI CIVIL LINE, UNNAO 7 ABHISHEK 8/22/2007 500(RECEPT.NO). 415/5 (22-08-2007) (DISTT) PINCODE- 209801, STATE(U.P) PELLISSERY(H), REGENCY 8 ABRAHAM JOSEPH PELLISSERY 5/15/1981 500(RECEPT.NO). 619/7 (19-08-2009) GARDENS, KUTTANELLUR, Thrissu-14 S/O BASAVARAJAPPA D.J 9 ADARSHA D.B 8/29/2011 500(CASH) MELLEKATT JANAPRIYAQTS, BLOCK. 1ST, FLATE NO. 115, 10 ADDANKI VAMSI KRISHNA 1/16/2006 500(RECEPT.NO). 248/3 (16-01-2006) MOHAN NAGAR,UPPAL MANDAL, HYDRABAD-35 IVRI ALUMINI ASSOCIATION MEMBERSHIP FORM VIRUPAPUR, TQ- 11 ADEPPA .J 8/26/2008 500(RECEPT.NO). 555/6 (29-08-2008) SINDHANUR DIST- RAICHUR, STATE-KA KARUNDHALAKVRICCH(P 500(CASH DEPOSITED IN BANK) OST), KALLAKURACHI, TK, 12 AGANGASAMY A 7/10/2003 (13-08-2003) VILLUPURAM(DIST), TAMIL NADU-606301 S/O-Dr. R.B AGRAWAL, CMO COMPOUND, 13 AGRAWAL RAVI KANT 3/22/2007 500(RECEPT.NO). 389/4 (23-03-2007) LALDIGGI ROAD, ALIGARH(DISTT), U.P(STATE), PINCODE- B, MUSLIM STREET, TAJ COMPOUND, SATTUR, 14 AHAMAD BASHEER D 5/3/2007 500(RECEPT.NO). 395/4 (03-05-2007) PINCODE-626203, TAMIL NADU 535, GURUTEGBAHADUR NAGAR, KARTARPURA, 15 AHI YADVINDER SINGH 8/7/2006 500(RECEPT.NO). 287/3 (07-08-2006) SANGPUR, PINCODE- 141015, STATE-PUNJAB R/O WADWAN BUDGAM, 16 AHMAD AIJAZ DAR 11/20/1983 500(RECEPT.NO). 670/7 (31-08-2009) J/K INDIA, PINCODE-191111 17 AHMAD RAUOOF RAFIQEE 12/15/1979 500(RECEPT.NO). 677/7 (02-09-2009) UGJAN, DIALGAM, DIST J/K S/O BAHARUL ISLAM, 18 AHMED SHAHAJ UDDIN 3/2/2009 500(RECEPT.NO). 606/6 (02-03-2009) VILL-BHEHBARI, P.O THANNA 781377 VILL- SHEMO, POST- 19 AHMED SHAMIM 6/11/1978 500(RECEPT.NO). 679/7 (02-09-2009) SALTOWA GOPALPUR, DIST- BASTE VETTOLIL PUTHEN VEEDU, 20 AJITH P 9/20/2006 500(RECEPT.NO). 358/4 (21-09-2006) MYNAGAPPALLY(POST), KOLLAM(DISTT), KERALA, IVRI ALUMINI ASSOCIATION MEMBERSHIP FORM PINCODE-690519 21 AJJAINH G.R 7/21/1984 500(RECEPT.NO). 624/7 (21-08-2009) NO ADAMBAI SOUTH (P.O), PATTUKOTTAI(TK), 22 ALEXANDER G 8/9/2005 500(RECEPT.NO). 161/2 (16-08-2005) THANJAVUR(DIST), TAMIL NADU-614602 ZADI MASJID, SAFA 23 ALLAIE IDREES MEHRAJ 8/3/1982 500(RECEPT.NO). 626/7 (21-08-2009) KADAL, SGR, KMR, 190002 24 ALYETHODI RAHMAN RAFEEQUE 8/14/2008 500(RECEPT.NO). 520/6 (14-08-2008) ALYETHODI HOUSE, S/O GITENDRA NATH DE, (NEAR B. DO OFFICE), P.O- 500(CASH DEPOSITED IN BANK) 25 AMITENDD DE 8/29/2003 GARHBETA, DIST- (02-09-2003) MEDINIPUR,WEST. BENGAL | 721101 4/100 C.VADAMBACHERY, 26 ANANDA KUMAR R 6/25/2005 500(RECEPT.NO). 225/3 (09-06-2005) POST, PALLADAM, TAMIL NADU-641664 6, KULATHUMEDU ST, V THATTANCHAVADY, 27 ANANDAN P 11/27/2006 500(RECEPT.NO). 370/4 (27-11-2006) ARUM BARTHAPURAM, PONDY,PINCODE-605110 54, VEERAPATHIRA SAMY 500 (CASH DEPOSITED IN BANK) 28 ANBAZHAGAN R 8/28/2004 KOIL STREET, LAWSPET, (02-09-2004) PONDICHERRY-605008 PANDUVAKKOTTAI, MARUTHANKONVIDUTHI( 29 ANBURAJA M 8/29/2006 500(RECEPT.NO). 306/4 (29-08-2006) POST), PUDUKKOTTAI(DISTT),CHE CK INT H.NO. 278, NEAR DISPENCY, V.P.O 30 ANITA 2/28/2005 500(CASH. 28-02-2005) AWANKHA, DIST GURDARPUR, PANJAB-Pin IVRI ALUMINI ASSOCIATION MEMBERSHIP FORM Code: 143531 D/O MRS LEELA PAULPANDIAN, C-64 500(CASH DEPOSITED IN BANK) MAHARAJANGAR, 4HT 31 ANITA P 12/2/2004 (NO) MAIN STREET, TIRUNELVELI TAMIL NADU-627011 414/138, SARI MALI KHAN, 32 ARUNJI JOY T.K 8/27/2008 500(RECEPT.NO). 541/6 (27-08-2008) CHOWK, LUCKNOW NO. 5, OTHAUADAI 33 ARUNMOZHI N 2/5/1977 500(RECEPT.NO). 637/7 (2-08-2009) STREET, MUDALIARPET, Puducherry-605004 AMANDGRAM, LANE-3, 34 . ARYA.RAHUL 11/20/2012 500 (RECPT NO. 827) MORABADI MAIDAN (RANCHI - 824008 ) PRADEEP B S/O BALARAJU.M GOPALA 35 B. PRADEEP 8/12/2008 500(RECEPT.NO). 518/6 (13-08-2008) GOVINDA,2ND CROSS, E-67, PINCODE-577201 228 ANAND VIHAR 36 BABOO KAILASH 5/31/2005 500(RECEPT.NO). 146/2 (31-05-2005) NAUBASTA; Kanpur, Uttar Pradesh 208021. 1-11-15, BHAVANI COLONY, 37 BABU N SURESH 11/20/2004 500(CASH IN BANK) 23-10-2004 RAJENDRA NAGAR, HYDERABAD-500030 450, AMEDKAR ROAD, 38 BAGATH M 2/13/2006 500(RECEPT.NO). 258/3 (13-02-2006) ASHOK NAGAR, LAWSPET PONDICHERRY RAYNAGAR, DIAMOND 39 BAIDYA SURAJIT 8/22/2008 500(RECEPT.NO). 530/6 (23-08-2008) HARBOR, SOUTH 24 W.B AT- POST- MOHPA, TAH- 40 BAIS MANISH VIRENDRA SINGH 8/21/2004 500(CASH IN BANK) 23-08-2004 KALMESHWER, DIST- NAGPUR, M.S IVRI ALUMINI ASSOCIATION MEMBERSHIP FORM Kallimai Road, Moorarpalayam 41 BAKYARAJ.S 10/1/2007 500(RECEPT.NO). 469/5 (01-10-2007) (P.O) Sankarapuram (T.K)Tamil Nadu - 606208 34, CHELLIAMMAN KOIL STREET, 42 BALAGANGATHARATHILAGAR.M 2/27/2006 500(RECEPT.NO). 264/3 (02-03-2006) THIRUKKAZHUNDRAM, KANCHIPURAM DISTT, TAMIL NADU-603109 162, CHOWDRY NAGAR, 43 BALAN VASANTHI 4/29/1981 500(RECEPT.NO). 672/7 (31-08-2009) VALASARAVAKKAM, CHENNAI, PINCODE-600087 C/O- T.BAM, P.O- BASAR, 44 BAM JOKEN 8/27/2007 500(RECEPT.NO). 438/5 (31-08-2007) PINCODE-791101, ARUNACHAL PRADESH 9, BANGUR AVENUE , D- 45 BANDYOPADHYAY S.K 12/11/2003 500(CHEQUE NO. 154530) 11-12-2003 BLOCK, Kolkata, PINCODE- 700055 (W.B) CIRCUS MAIDAN, STATION ROADPO-KATWA,DIST- 46 BANDYOPADHYAY SAMIRAN 8/28/2003 500(CASH IN BANK) 29-08-2003 BURDWAN,PIN- 713130,WEST BENGAL. A/P. PIMPALGAON TAL- 47 BANGAR YOGESH.C 8/30/2011 500 (CASH) AMBEGAON DISTT- PUNE VILL. NGOPOK, P.O-MEBO, 48 BANGKENG PERME 8/30/2011 500 EAST SIANG, ARUNACHAL AT- BANNALI, PO- BANNALIKAR ANILKUMAR 500(CASH DEPOSITED IN BANK) (02- DHARMABAL, 49 9/2/2003 SADASHIVRAO 09-2003) MAHARASTRA, PINCODE- 431809 Maji Sainik Vasahat, PLOT NO- 49, MIRAJ, PINCODE- 50 BARATE ABHIJIT KASHINATH 8/17/2007 500(RECEPT.NO). 413/5 (18-08-2007) 416410, MAHARASTRA, DISTT-Sangli IVRI ALUMINI ASSOCIATION MEMBERSHIP FORM VILL- NALAPARA, P.O- 51 BARMAN PURABI 4/8/2008 500(RECEPT.NO). 501/6 (09-04-2008) SAUKUCHI, GAWAHATI- 781034 (ASSAM) HOSPITALPARA, P.O- 52 BARUA RAHUL 7/24/2006 500(RECEPT.NO). 276/3 (25-07-2006) Maynaguri, DISTT-Jalpaiguri, PINCODE-735224, W.B C/O P.K METI/ ATPO 53 BASARADDI.MANJUNATH 9/2/2011 500 TOLAMATTI(BILAGI BASAVARAJU PRASANNA 54 10/7/2006 500(RECEPT.NO). 359/4 (07-10-2006) NO SOMERAHALLY AT-POST-SAKLI, YAVAL, 55 BAVISKAR PRADYUAMNA S 8/3/2005 500(RECEPT.NO). 155/2 (06-08-2005) JALGAO, MAHARASTRA, PINCODE-425302, INDIA VILLAGE- MURMADI,POST- LAKHANI, DIST- 56 BAWANKULE D.U 10/29/2004 500(CASH IN BANK) 30-10-2004 BHANDARA, MAHARASTRA- 441809 SOUTH EHAN CHIARA, PRATAPPUR, 57 BERA BIDHAN CHANDRA 1/31/2006 500(RECEPT.NO). 253/3 (31-01-2006) MIDNAPORE(EAST), PIN CODE-721152,(W.B) AIRPORT ROAD, HINOO, 58 BHAGAT JANET 8/29/2005 500(RECEPT.NO). 211/3 (01-09-2005) RANCHI, JHARKHAND, PINCODE- 834002 B-34. 7464 SBS NAGAR, 59 BHARDWAJ NITIN 8/25/2004 500(CASH IN BANK) 03-09-2004 Haibowal Kalan, Ludhiana, Punjab, India 141001 S/O- SHRI SHYAMANAND PRASAD, VILL-MAHUA, P.O- ARRAHA VIA- 60 BHARTI VIJAY K 7/29/2008 500(RECEPT.NO). 531/6 (23-08-2008) MATHAHI, DISTT- MADHEPURA-852121, BIHAR IVRI ALUMINI ASSOCIATION MEMBERSHIP FORM SRUTAMI KARIKKAMURI , ERNAKULAM(POST), 61 BHASKARAN SUNIL 7/24/2006 500(RECEPT.NO). 277/3 (25-07-2006) ERNAKULAM(DISTT),KERA LA,PINCODE-682011 H.NO 50, LALNAGAR, 62 BHAT ABDUL SHAKOOR 8/24/2005 500(RECEPT.NO). 169/2 (24-08-2005) CHANPORA, SRINAGAR(J.K)-190001 D-2ND/102 A, Satya Marg 1000 (CHEQUE NO. 318177) 63 BHAT P.N 7/14/2004 Chankyapuri New Delhi- 14-07-2004 110021. NEW THEED HARWAN 64 BHAT.SHAHNAWAZ AHMAD 8/27/2011 500 SRINAGAR, JAMMU KASHMIR C/O MR.D.C. BHATTACHARYYA, LALABAGAN, 65 BHATTACHARYYA AMITAV 4/17/2008 500(RECEPT.NO). 503/6 (19-04-2008) NEARDURGABADI, P.O- BIDHANGARH, KOLKATA- 66, (W.B) RONGONGDIOAM, P.O- 66 BHOTIA SEMSEM 8/29/2006 500(RECEPT.NO). 319/4 (30-08-2006) Phudong, NORTH SIKKIM, PINCODE-737119 HOTEL BIRDIES NEST, BEHIND TELEPHONE, 67 BHUTIA YANGCHEN DOMA 8/29/2005 500(RECEPT.NO). 182/2 (29-08-2005) EXCH, GANGTOK, SIKKIM,PINCODE- 737101 C-7, ANNA UNIVERSITY, 68 BHUVANESWARI T 11/21/2008 500(RECEPT.NO). 597/6 (24-11-2008) STAFF QUARTERS, GUINDY, CHENNAI-25 POST- PEERAPUR, TQ- 69 BIRADAR CHANNAPPAGOUDA 7/22/1984 500(RECEPT.NO).
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