Top Achievers of
Class XII
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ALUMNI REGISTRATION FORM

  1. Fields marked with * are mandatory to fill.
  2. Please enter valid phone number & email id.
  3. The information provided will be kept confidential.

PERSONAL DETAILS

Name of Alumni *
Father's Name *
Mother's Name *
Date of Birth *
Gender *
Marital Status
Photograph

PASSING OUT DETAILS

Passing Out Branch *
Passing Out Year *
Passing Out Class *

CONTACT DETAILS

Mobile No *
Email Id *

Permanent Address

Address *
Country *
State
City
Pin Code

RESIDENTIAL ADDRESS Please select the check box and copy details if Residential Address is same.

Address
Country
State
City
Pin Code

EDUCATION DETAILS

Course
Course Level
Passing Year
College / Institute
University

WORK DETAILS

Present Status
Name of Company / Organisaton / Business Firm / Govt. Office or Dept.
Designation
Annual Income
Special Achievements