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Alumni Registration
1.  NAME OF APPLICANT :
2.  FATHER'S NAME :
3.  OCCUPATION :
4.  AGE AS ON (MENTION DATE):
  
Select
5.  YEAR OF PASSING OUT:
6.  MOBILE No :
7.  LANDLINE No :
8.  Email :
9.  OTHERS CONTACTS (skype,facebook,twitter,yahoo/live messanger,gtalk etc.) :
10.  PERMANENT POSTAL ADDRESS: :
Check this box if Present Address and Permarent Address are the same.
11.  PRESENT POSTAL ADDRESS: :
12.  NAME OF GRAM PANCHAYAT :
13.  NAME OF BLOCK / MUNICIPALITY :
14.  MENTION YOUR SPECIALITY :
  SUBMISSION:The above mentioned informations I submitted are true to the best of my knowledge.If I submit fraud informations,I would be liable to legal actions as per rule existing.