Alumni Registration Form

Name of the Alumni*:

College ID:

Father's Name*:

Email ID*:

Date of Birth*:

Gender*:MaleFemale

Mobile No*:

Branch*:CivilMechanicalComputer ScienceElectricalElectronics & CommunicationArtificial Intelligence

Batch*: 2010-142011-152012-162013-172014-182015-192016-202017-21

Permanent Address*:

City*:

State*:Andhra PradeshAndaman and Nicobar IslandsArunachal PradeshAssamBiharChandigarhChhattisgarhDadar and Nagar HaveliDaman and DiuDelhiLakshadweepPuducherryGoaGujaratHaryanaHimachal PradeshJammu and KashmirJharkhandKarnatakaKeralaMadhya PradeshMaharashtraManipurMeghalayaMizoramNagalandOdishaPunjabRajasthanSikkimTamil NaduTelanganaTripuraUttar PradeshUttarakhandWest Bengal

Pincode*:

Marital Status*:UnmarriedMarried

Upload Official Photo* (not more than 1MB and Type must be jpg/png/gif):

Name 1:

Phone No:+91

Name 2:

Phone No:+91