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Institution

Institution passed from *

Course *

Branch

Year of Admission * / Passing

Enrollment Number

Personal

About Yourself

Name of Alumnus during admission to course *

Present Name of Alumnus *

Gender *

Male Female Other

Name of Father

Mr.

Name of Mother

Mrs.

Date of Birth *

Mobile Number *

Email Id *

Privacy

Show Primary Mobile Number to

All Members Only Admins

Show Primary Email to

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Address

Permanent Residential Address *

City / Pin Code *

Country / State *

Present / Postal Residential Address *

Present Address Same As Permanent Address

Occupation

Are you presently working ? *

YesNo

Study

Are you presently pursuing further studies after completion of your course in this University? *

YesNo

Have you completed any further studies after your course in This University? *

YesNo

Have you earned any Fellowships? *

YesNo

Achievements / Credentials

Identity

Password * (Your primary mobile number is your login-id)

Confirm Password *

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