Name of Alumni :*
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Date of Birth: (dd/mm/yyyy)
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Marital Status:
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Phone No :(Country -Std-Number)
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Mobile No:*
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Email Id:*
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Current Address:
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Last Attended Class & Section:
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Year of Pass Out :*
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Stream:
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Highest Qualification:
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Name of College/University/Institution:
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Course in pursuit:
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Name of College/University/Institution:
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Type of Industry:
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Company Name:
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Company Location: (City, Country)
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Special Achievement:
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Messages/Suggestions:
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Refer other Aluminies: Please mention Name & Contact no.(Minimum
3)
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Could we look forward to have your Association in future?
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