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Receipt No :
 
Date : day / month / year
 
Mem No :



APPLICATION FOR NEW MEMBERSHIP / RENEWAL

(Write in BLOCK letters please)

Surname   Miss Mrs. Mr.
 
Name  
 
Date of Birth day / month / year  
 
Place of Birth  
 
Address (with pin code)  
 
Telephone (Res.) (Office)  
 
E-mail  

Profession
     
Annual Membership    Rs. 700/-     Rs.1000/- (couple)

Life Membership     Rs. 5000/-    Rs.6100- (couple)

Institutional membership     Rs. 11000 (3 years)

*I have read the constitution & pledge to abide by its rules.

- The following categories of people can avail a 50% discount on Annual or Life Memberships
  1. Diplôme from Alliance Française de Trivandrum,
2. Diplôme Supérieur from Alliance Française de Trivandrum,
3. DELF 2 or DALF from Alliance Française de Trivandrum,
4. Teachers & Permanent Staff of Alliance Française de Trivandrum,
5. Students of Alliance Française de Trivandrum who have studied in France for a minimum period of 10 months.
- Fees once paid shall not be refunded or transferred under any circumstances.
- The Executive Committee of the Alliance Française de Trivandrum reserves the right to cancel / terminate the membership without prior notice
- New applicants may kindly submit two Stamp size photographs .
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Rules and Regulations governing membership of the Alliance Française de Trivandrum

  • All applications for membership are subject to approval by the Executive Committee of the Alliance Française de Trivandrum. In case the membership application is rejected, the fees collected shall be returned as such. The Committee need not assign any reason for such rejection and no appeal lies against such action.

  • Every person who wishes to become member shall have to be introduced by two existing members.

    * Constitution of Alliance Française de Trivandrum available at reception office

    I am being introduced to the membership of Alliance Française de Trivandrum by the following two members -


    • 1. Name ______________________________ Membership Number: ____________________

    Signature ___________________________ Date: ___________________________________



    2. Name ______________________________ Membership Number: ____________________

    Signature ___________________________ Date: ___________________________________


    Please give a brief background of yourself. You can include information on your education, your work, your interests, travel etc.

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    Please indicate your interests in taking up membership of the Alliance Française.

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