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Alumni Form

Full Name (Current)*:
Name (As Per College Record)*:
Date Of Birth*: Religion*:
Upload Photo: (*select only GIF,JPEG and PNG file)
Residential Address
Residential Address:Room or Flat No*:
Bldg.Name or Chawl Name with No*:
Road Name:
District*: Pin code*:
Tel.(R): (O): Mobile No*:
E-mail ID*:
Course*:
Last Academic Year Spent in the Institution*: -
Whether in Service / Profession*:
If Yes:
Designation:
Office Address: Tel:
Area of Interest:
Extra Ordinary Achievement: