Become a Life Member

Submit a request to be a life member of GAA. Your request will only be processed after we receive your pledge amount of $5O USD. You can make your payment via paypal.

Name: *

Your full name

GAA Membership no.:

Your GAA Membership no, if applicable.

E-mail: *

Phone no.:

Your phone no. so that we can contact you when your request is processed.

Current Involvement:

Tell us about your current involvement

Additional Information:

Additional Information you wish to include in your request

Date of Birth: *

MonthJanFebMarAprMayJunJulAugSepOctNovDec

Day12345678910111213141516171819202122232425262728293031

Year193019311932193319341935193619371938193919401941194219431944194519461947194819491950195119521953195419551956195719581959196019611962196319641965196619671968196919701971197219731974197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998

Graduted From: *

St. Xavier's School, Jawlakhel

St. Xavier's School, Godavari

St. Marys School, Jawlakhel

St. Xavier's College, Maitighar

Other

Jesuit Institution you graduated from

Other:

If other, please specity

Batch: * select...1951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008

Your Batch Year

Address: *

Your current address

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