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Membership

Application For Life Membership of PIMA.

I hereby apply for Life Membership of the Postgraduate Institute of Management Alumni Association and undertake to abide by the constitution and regulations made under the constitution from time to time.

 

PERSONAL INFORMATION AND CONTACT DETAILS

 

Title (required)

First Name (required)

Last Name (required)

NIC Number (required)

Email Address (required)

Mobile Number: (required)

Current Work Place: (required)

Designation: (required)

Work Place Address: (required)

Work Place Phone: (required)

Home Address: (required)

QUALIFICATIONS

Year of Graduation from PIM: (required)

Highest Qualification Obtained from PIM:(required)

Other Professional Qualifications:

PHOTOGRAPH

Browse and Upload (Square shaped photograph of the bust of the applicant minimum 400 pixels wide and 400 pixels high JPG / PNG)

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