Alumni Registration Form

Please fill up the details below mandatory fields are marked with *

PRN NO :-

Enrollment No.

1. PERSONAL INFORMATION

Title*

First Name*

Middle name*

Last Name*

Email Id*

Blood Group

Gender*
MaleFemale
Date of Birth*

Mobile*

Personal web Page

Company web page

2. ACADEMIC INFORMATION

Qualification 1(Mention your qualification at)(Leave which is not applicable)

Batch (Xth passing year)

Batch (XIIth passing year)

Course(UG)

Degree(PG)

Branch

Specialization(PG only)

Faculty (Ph.D only)

3. CONTACT INFORMATION

Residence Address*

Pin Code*

4. PROFESSIONAL INFORMATION

Office Address

Pin Code

5. APPERENCE/QUALIFYING COMPETITIVE EXAMS [please provide details]

1. Have you Passed in CAT if yes then provide details if no leave blank
Score

2. Have you Passed In GATE if yes then provide details if no leave blank
Rank
3. Have you Passed in GMAT if yes then provide details if no leave blank
Score
4. Have you Passed in GRE if yes then provide details if no leave blank
Score
5. Have you Passed in TOFEL if yes then provide details if no leave
Score
6. If you placed by the Institute, please specify Company Name
Company Name
7. Higher Studies if any, leave blank if not
Discipline
University/Inst.

Candidate Declaration

I here declare that all the information given by me is genuine . I will be responsible for any false information given here.

Your passport size photo here*