*Payment only by cheque

Date : 2023-03-29 The Moderator
Delhi Old Xaverian’s Association
St. Xavier’s School
Delhi.

Dear Sir,
As a student of Class XII in St. Xavier’s School, scheduled to finish my schooling early this year, I would like to become a member of DOXA. I agree to make the contribution of Rs. 2,000/- for life membership and have the consent of my parents to obtain the DOXA membership.

First Name*

Middle Name

Last Name

Gender*

Male Female

Class*

Section*

Select Section A B C D E F G

Roll No.*

Select Roll No. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70

Year of completing*

2020

Residential Address*

Email*

Mobile*

Image*

Captcha*

Type the text:

Register