MAA Digital Life Member Portal

Life Member Information Correction Form

Correct Information

PERSONAL INFORMATION:

First Name*:

Last Name*:

Address:

Thana:		District:
Country:
Email*:		Mobile*:

BUSINESS INFORMATION:

Type of Profession*:

Select from list Government Service Private Service Business Self Employed Retired Others

Organization*:

Designation:
Address:

Thana:		District:
Country:
Email:		Mobile:

ALUMNUS ACADEMIC INFORMATION:

Degree Obtained*:

Select from list B.Com (Hons.) M.Com BBA MBA EMBA MPM M. Phil PhD

Year of Admission:

OTHER INFORMATION:

Spouse Name:		Occupation:
Blood Group – Self:	Select from list A+ A- B+ B- O+ O- AB+ AB-	Spouse:	Select from list A+ A- B+ B- O+ O- AB+ AB-

DECLARATION:

I hereby declare that the information provided above is true to the best of my knowledge. I understand that any false declaration will make my application liable to cancellation & may result in expulsion fromthe association. I also agree to abide by all the rules, regulations and code of conducts of the MAA. I Agree