aaup membership application

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1 ALUMNI ASSOCIATION OF THE UNIVERSITY OF PERADENIYA (AAUP) Application form for Membership 1. Name (Rev./Prof./Dr./Mr./Mrs./Miss/Ms.): ……………………………………………………………………... ……………………………………………………………………………………………………………………. 2. Private Address: …………………………………………………………………………………………………. ……………………………………………………………………………………………………………………. Phone:……………………. Fax: ………………. Email: ………………………………………………. 3. NIC No …………………………………………………………………………………………………………... 4. Profession/Designation: …………………………………………………………………………......................... Official Address: …………………………………………………………………………………….................... ……………………………………………………………………………………………………………………. Phone:……………………. Fax: ………………. Email: ………………………………………………. 5. Membership applied for: Full member / Associate member (Please see the page2) 6. Fees to be paid: Method of payment Type of membership Fee Money Order* Associate member (per year) Rs: 500/= Cheque* Full Life Rs:1000/= Bank draft/deposit* Fee for membership card** (Optional) Rs: 500/= Cash *Money Order /Bank deposit / Bank draft / Cheque payable to the Alumni Association of University of Peradeniya (AC/ 1273515, BOC, Peradeniya) *Money Order; Sarasavi Uyana Peradeniyapost office should be indicated as the receiving post office. ** Those applying for membership card should supply a stamp sized photograph. 7. Details of academic qualifications obtained at the University of Ceylon/Peradeniya (If you are applying for the Associate membership, please give particulars regarding your association with the University.) 8. Period of stay and name/s of Halls of Residence 9. Any other information: I certify that the above particulars are true and correct. Date: ……………………….. …………………………………… Applicant Signature (Please send the completed application, photocopy of your degree certificate/particulars with the University with your remittance to the AAUP Secretary, AAUP office, Students’ Center, University of Peradeniya, Peradeniya, Sri Lanka.) Proposed by: (Name) Seconded by: (Name) Signature: Signature: For office use: Application channeled through: Data verified on AAUP receipt No. Accepted on Membership No. Degree/s Year/s of obtaining degree/s Your name as in the degree certificate Faculty Your name in the membership card; (Maximum number of characters with spaces; 20) Year/entrance

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AAUP Membership Application

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Page 1: AAUP Membership Application

1

ALUMNI ASSOCIATION OF THE UNIVERSITY OF PERADENIYA (AAUP) Application form for Membership

1. Name (Rev./Prof./Dr./Mr./Mrs./Miss/Ms.): ……………………………………………………………………...

…………………………………………………………………………………………………………………….

2. Private Address: ………………………………………………………………………………………………….

…………………………………………………………………………………………………………………….

Phone:……………………. Fax: ………………. Email: ……………………………………………….

3. NIC No …………………………………………………………………………………………………………...

4. Profession/Designation: ………………………………………………………………………….........................

Official Address: ……………………………………………………………………………………....................

…………………………………………………………………………………………………………………….

Phone:……………………. Fax: ………………. Email: ……………………………………………….

5. Membership applied for: Full member / Associate member (Please see the page2)

6. Fees to be paid: Method of payment

Type of membership Fee Money Order*

Associate member (per year) Rs: 500/= Cheque*

Full Life Rs:1000/= Bank draft/deposit*

Fee for membership card** (Optional) Rs: 500/= Cash

*Money Order /Bank deposit / Bank draft / Cheque payable to the Alumni Association of University of

Peradeniya (AC/ 1273515, BOC, Peradeniya) *Money Order; “Sarasavi Uyana Peradeniya” post office

should be indicated as the receiving post office.

** Those applying for membership card should supply a stamp sized photograph.

7. Details of academic qualifications obtained at the University of Ceylon/Peradeniya

(If you are applying for the Associate membership, please give particulars regarding your association with the University.)

8. Period of stay and name/s of Halls of Residence

9. Any other information:

I certify that the above particulars are true and correct.

Date: ……………………….. ……………………………………

Applicant Signature (Please send the completed application, photocopy of your degree certificate/particulars with the University with your remittance to the AAUP

Secretary, AAUP office, Students’ Center, University of Peradeniya, Peradeniya, Sri Lanka.)

Proposed by: (Name) Seconded by: (Name)

Signature: Signature:

For office use: Application channeled through: Data verified on AAUP receipt No. Accepted on Membership No.

Degree/s Year/s of obtaining degree/s

Your name as in the

degree certificate

Faculty

Your name in the membership card;

(Maximum number of characters with spaces; 20)

Year/entrance

Page 2: AAUP Membership Application

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An extract from the constitution of the AAUP

Article I : Name

The name of the Association shall be the “Alumni Association of the University of Peradeniya”, hereinafter referred to as “The

Association”

The expression “the University of Peradeniya” shall include the Ceylon Medical College, the University College, the University

of Ceylon, the University of Ceylon, Peradeniya, the Peradeniya Campus of the University of Sri Lanka, and the University of

Peradeniya, Sri Lanka and shall hereinafter be referred to as “the University”.

Article IV : Membership

1. There shall be three categories of members:

i. Full members

a. Any person who is a graduate of the University or has obtained a postgraduate qualification of the

University (see Article I); or

b. Any person who was a student of the Ceylon Medical College and obtained the licentiate in Medicine

& Surgery and licentiate in Dental Surgery

shall be entitled to full membership on application and payment of the prescribed fees.

ii. Associate members

a. Any past student of the University who is not a graduate of the University; or

b. Any graduate of a recognized university who is or has been a member of the academic or non-academic

staff of the University; or

c. Any person who is or has been a Chancellor of the University or any person who is or has been a

member of the University Court or the University Council

shall be entitled to Associate Membership on application and payment of the prescribed fees.

iii. Honorary members

a. Any person who is not eligible for full or associate membership but has rendered distinguished service

to the University; or

b. Any person who has been conferred a degree honoris causa by the University; or

may be nominated by the Executive Committee and be elected by the Association as an honorary member.

Limits to the number of honorary members may be determined by By-laws.

2. All members who have been enrolled as full members shall have the right to vote, to be nominated for office in the

Association, to propose and second the candidature of another member and to receive all communications from the

General Secretary.

3. All members who have been enrolled as associate members and who have paid the prescribed membership fees for the

year shall receive all communications from the General Secretary.