www.vvnagar.com Every Individual who is at least 21 years of age and/or attended college in V.V. Nagar need to fill out this membership form. Do Not list children's name on this Form. Required Fields are in Blue Last Name: FirsName: Middle Name: Street Address: Address Cont: City: State: == Please Select One ==> Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Missouri Mississippi Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Virgin Islands Washington West Virginia Wisconsin Wyoming Alberta Armed Forces Pacific Armed Forces Africa, Canada, Europe, Middle East Armed Forces Americas British Columbia Manitoba New Brunswick Newfoundland Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territories Zipcode: Home Phone # Business Phone # Cell Phone # Fax # Email Address: Graduated from the college? ==Please Select==> A. D. Patel Institute of Technology A. R. College and G H Patel Institute of Pharmacy BNB - Bhaikaka and Bhikhakaka Institute of Technology BVM - Birla Vishwakarma Mahavidyalaya BJVM - B. J. Commerce College G. H. Patel College of Engineering and Technology Ipcowala Santram College of Fine Arts N. V. Patel college of pure and applied Science Nalini Arvind and T. V. Patel Arts College R. P. T. P. Science college Rama Manubhai Desai College of Music and Drama S. M. Patel college of Home Science S G M English Medium College of Commerce and Management V. P. Science College Graduation Year? ==Please Select==> 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 How do you Know VV Nagar? ==Please Select== Resident (Home Owner) Went to College Worked There Born There Spent 3 or more years Do you Have Relatives in VV Nagar? Yes No Come to USA during the Year? ==Please Select==> 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 Status in USA? Citizen Green Card Work Permit Visitor Student Other Pending living in USA: Own Home Apartment Campus With Relative With Friend With Inlaws With Parents With Brother With Sister Motel OR Business Other Do you own any Business in USA? Yes No Native Place? Birth Place? Birth Date: MM/DD/YYYY Gender: Male Female Family Status: Single Married Never Married Devorce Widdow Other If you don't get Thank you Screen Please try again - Do Not leave required field as blank You can use Back Button on your Internet Browser to avoid retyping of your Information Information Provided here will be strictly used for www.VVNagar.com membership purpose only. It will be used for Online Database for member's only Lookup and for Publishing annual Directory in future by www.vvnagar.com.