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ALUMNI ONLINE REGISTRATION FORM
1. Name
*
2. Programme / Course
*
3. Year of Completion
*
4. Marital Status
*
Select
Single
Married
5. Occupation
Select
Business
Student
Profession
Home Maker
Employment
6. Name of the Business
7. Address for Communication
*
8. Contact Number
*
9. Email ID
*
10. Family Members (already in alumni)
Name
Relationship
Programme
Yr. of Completion
Current Status
11. Are you interested in visiting the institution as a resource person for any seminar /guest lecture / workshop / symposium ?
Yes
No
12. Are you interested in providing training / project / placement to outwards ?
Yes
No
13. Your achievements
14. Suggestions (if any)
PAYMENT DETAILS
Mode of Payment
*
Debit/Credit Card
Money Transfer
DD/Cheque
Transaction ID
Date of Payment
Amount
Ref ID
Date of Payment
Amount
DD / Cq No
DD / Cheque Date
Amount
Bank Name and Branch
*
- Mandatory
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