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PECOBA DIRECTORY ENLISTMENT
FORM
1 Name: ..............................................................
2. Passout Year 3. Branch of Engg ......................
4. Correspondence Address: .
..
.
.
.
5.Mobile Phone: ..................................
6.Landline Res Phone (with STD Code) ........
7. Landline Off Phone (with STD Code): .........
8. Email (Please write in capital letters, even if the actual email is in small letters)
...........
9. Name of Office & Designation (If retired, write Retd) ...
...................
10. I am in touch with following PEC Alumni:
(i) Name & passout year. ......................
His/Her Phones: Mob .Landline .
His email: ......................................
(ii)Name & passout year. ......................
His/Her Phones: Mob .Landline .
His email: ......................................
(iii) Name & passout year. ......................
His/Her Phones: Mob .Landline .
His email: ......................................
Date:.................. Signature.................................................
_________________________________________________________________________
Kindly fill the form & email to pecoba@bol.net.in or send by Fax to 01128759428 or by post to
Amarjit Singh Kohli, Gen Secy, PECOBA, B-4/120 Safdarjung Enclave, New Delhi-110029.