Alumni Registration Form

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Login Details

Email ID* :  
Password* :  
Confirm Password* :  
Secret Question* :  
Secret Answer* :  

Personal Details

Roll / Registration No. :    
Graduation* :  
Course Name* :  
Year of Study* :  
Year of Completion* :  
First Name* :  
Middle Name :  
Last Name :  
Gender* : MALE FEMALE  
Date of Birth* :  
Occupation :
Father Name :  
Mother Name :  
Marital Status* :  
Profile Photo : Clear
 
Family Photo : Clear
 
 
Profile Photo
 
Family Photo


Kids Details

Name of Kid Gender Date of Birth Add / Remove

Permanent Address Communication Address (Same as Permanent Address) Contact Details

Address Type* : Home Office Others  
Address 1* :  
Address 2 :
Country :  
State :  
District :  
City / Village :  
Pincode :
Others :
Address Type* : Home Office Others  
Address 1* :  
Address 2 :
Country :  
State :  
District :  
City / Village :  
Pincode :
Others :
Mobile No* :  
Landline No :
Alternative No :
Home No :
FaceBook ID :
Skype ID :
Whatsapp No :
Blackberry Pin :
Linkedin ID :

Educational Details

Name of the Institution Graduation Course Name Year of Study Year of Completion Add / Remove

Experience Details

Name of the Company Designation From To No.of Year of Services Add / Remove