Alumni Registration

Note: If the alumnus/alumna is deceased, a family member or representative can fill out this form.

Personal Details of Alumnus

Title

First Name

Father's Name

Grandfather's Name

Surname

Native Place/City

Native District

Native State

Date of Birth

Age

Mobile Number

WhatsApp Number

Email ID

Educational Qualification

Current Address

Country

State

District

Village/City

Current Occupation / Job

Office / Workplace Address

Information During Stay at the Institution

Admission Year

Year of Leaving

Course / Class of Study

In what way would you like to contribute to the institution?
Financial Support Guidance / Mentorship Future Planning Voluntary Time Contribution

Form Filler's Name

Relationship with the Alumnus

Upload Photo

Special Remarks / Suggestions

Thank you for your valuable time 🙏