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Alumni Register

First Name *

Middle Name

Last Name *

Mobile No. *

Email *

Gender *

Marital Status

Date Of Birth *

Working Country

Present Address*

State

Dist

Tal

Pin

Same As Above

Permanent Address

State

Dist

Tal

Pin

Password *

Confirm Password *

Photo

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Passout Institute *

Passout Course *

Passout Year *

Higher Education

Higher Institute Name

Higher Institute Address

Working Organization Name & Address

Designation

Other Working Status

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