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Alumni Registration Form
(Fields marked with * are mandatory)
Title* : Gender* :
First Name* : Middle Name* :
Last Name* :
Preferred User ID* : Password* :
(Min. 6 char.)
Check Availability of Preferred User Id Confirm Password* :
 
Professional Details
Program* :
Year of joining* :
Branch* :
Fields of Interest* :
(Note: First education must be entered first)
Education(1)* :
Education(2) :
Education(3) :
Email* :
Work Experience* : Yrs
Phone (Country code-STD-Ph.No)
Fax :
Current Organization* :
Designation* :
Segment/Sector/Job-Profile* :
Office Address* :  
Pincode :
Company URL :
Details of Industrial Training Details of Project
 
Student Association :
Academic Achievements Extra Curriculum Achievements
Publication/seminar/presentation/workshop
Would like to become an advisor to the students for their projects and career counseling?
Yes No
 
Personal Details
Present Address*:
    
Pincode :
Permanent Address*:
    
Pincode : Email* :
Phone* : (Country code-STD-Ph.No)
Mobile : Would you like to publish your mobile no.?
Personal URL :
Birthdate* : (DD/MM/YYYY - Min. 14 Yrs.)
Married : Yes No
Photograph : Passport size (Max. 250 KB)
I declare that the information provided by me is true as per my best knowledge*