Alumni Registration Form
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User Details:
Image:    

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E-mail ID: * 
Password: * 
Confirm Password: * 
 
 
 
Personal Details:
First Name: * 
Last Name: * 
Date of Birth: * 
Contact No: * 
 
 

 
 
Address:    
City: * 
Country: * 
 
 
Professional Details:
Organization:    
Designation:    
Other Details:    
Academic Details:
Registration No:    
Degree/Specialization: * 
Year of Passing: * 
Security Code: * 
 
 

 
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Department: * 
Other Details: