Alumni Association of the University of Peradeniya
(AAUP)
Membership Application

Personal Information
Title * Surname * Initials *  
 
Private Address      
Add Line1 *      
Add Line2      
City *      
Zip / Postal      
Country *      
Phone      
Fax      
Mobile      
E-Mail*      
         
Professional Information
 
Organization    
Profession / Designation    
   
Office Address      
Add Line1  
Add Line2  
City  
Zip / Postal  
Country  
Phone  
Fax  
E-Mail  
   
Membership Information
       
Fees payable

Full Ordinary membership (per year)

Rs: 500

00

Associate member (per year)

Rs: 500

00

Full Life/Associate Life

Rs:1000

00

Fee for membership card (Optional)

Rs:  70

00

  
 
       
Preferred Method of Payment *    
Money Order*    
Cheque*    
Bank draft*    
Cash    

*Money Order/ Cheque/ Bank draft payable to Alumni Association University of Peradeniya forwarded to,

General Secretary
AAUP
Senate Building
University of Peradeniya


** Those applying for membership card should supply a stamp sized photograph.
       
Academic Information

Please state the academic qualifications obtained at the University of Ceylon/Peradeniya and the year/s.  Also mention your period of stay and name/s of Halls of residence. 

(If you are applying for the Associate membership, please give particulars regarding your association with the University.)

 
Faculty Details    
Faculty Entered *  
Entered Year (Ex: 1998) *  
Graduated Year (Ex: 2001) *  
   
Academic Qualifications Achieved      
1. - Year
 
 
Name of the Hall of Residence
 
1. during year -
 
         
Other Information

Please enter any other information

         

I certify that the statements made by herein are complete and true to the best of my knowledge and belief.

I Agree above *

Note : Your application will be subjected to qualification by the AAUP committee. Once your application is confirmed you will be notified through an e-mail with more information.

* Mandatory Fields
 
Created by Mohamed Fazeen