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Alumni Registration Form
Salutation
:
Mr.
Mrs.
Ms.
Dr.
Prof.
Name
:
Date of Birth
:
yyyy
mm
dd
Gender
:
Male
Female
Course
:
B.E
M.Tech
M.C.A
Specialization
:
CIVIL
CSE
ECE
EEE
IEM
ISE
MCA
MECH
ML
TCE
Year of Join
:
e-mail
:
Mobile No.
:
Contact Address
Street Address-1
:
Street Address-2
:
City
:
State
:
Country
:
Pin Code (Zip Code)
:
Professional details
Designation
:
Organization/Company
:
Address-1
:
Address-2
:
City
:
State
:
Country
:
Pin Code (Zip Code)
:
Employment sector
:
Public
Private
Entrepreneur
Login Information
University Seat No (USN)
:
Username
Password
:
Confirm Password
:
Password Recovery
Secret Question
:
Answer
: