Associate Membership Form

Name (required)

Father’s / Mother’s Name (required)

Year of Joining teaching at CLC (required)

Retired/Current (required)

If currently teaching, Whether Pemanent/Temporary/Adhoc (required)

Present Designation (required)

Address

Email (required)

Contact phone numbers / Mobile(required)

Citizenship(required)

Membership(required)

Select MembershipLifeAnnual

Upload Photo(required)

Declaration

I hereby declare that the above information is true to the best of my knowledge.