Kindly fill all the fields of the online membership form. Submitting the form for acceptance
signifies that you have provided information to SMESA that is true and you will be bound 
to abide by the Rules of SMESA framed time to time.

 

Online Membership Form
Full NAME :  
Father's Name :  
Present Address :  
Address in India :  
(Applicable for Candidates residing outside Kolkata)
Phone :  
Email ID :  
Year of Passing ICSE/SF :   (eg. 1990)
Number of years studied in SMODS :  
Occupation :  
Best time to contact :  
Date of Birth :  
Date of Marriage :  
Name of Brother/Relative who is an   
  ExMarian (if any) :  
Name of son/brother/relative presently   
 at SMODS (if any) :  
Whether any previous membership  
 registered in SMESA :  
Special Information (if any) :  

 

 

 

 

 

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