APPLICATION FOR MEMBERSHIP -----> OBA of St John's College,Jaffna Victoria Branch, Australia

PERSONAL DETAILS Name Address City Code Phone Phone (Bus) (Self - Old Student / Staff at College - Please specify periods)     (Spouse - Old Student / Staff at College - Please specify periods)     (Children - Old Students / Staff at College - Please specify periods)
N umber -------------------- Paid Through ____________________   Subscription Details Annual Fee $15 per Year Life Member $ 150 Students, Pensioners $5 per Year Due on 1st January of each year.   Please foward cheque made payable to "OBA St John's College" to K Alagaratnam 6 Talab Court Chelsea Heights 3196 T.No (03) 9773 1390	I agree, if admitted as a member of the Old Boys Association St John's College, Jaffna to confirm to the Charter and by-laws of the Association.       ------------------------------------------------ (Signature)     _________________________________ (Date)

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