Alumni Registration & Feedback Form

Personal Details

Name *

Enrolment Number *

Email *

Gender *

Male Female Other

Father Name *

Mother Name *

Personal E-Mail *

Mobile Number *

Alternate Mobile Number *

Permanent Address *

Corresponding Address *

Official E-mail ID

Name of Company *

Designation *

Current Location *

Salary Package *

Course *

Branch *

Admission Year *

Batch *

Photo (Professional Photo) – max size 1MB *

Feedback (Optional)

I hereby confirm that all the information provided above is true and correct to the best of my knowledge. *