ALUMNI REGISTRATION

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TITLE:
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USERNAME:
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FIRST NAME:
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MIDDLE NAME:


LAST NAME:
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PASSWORD:
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ROLL NO:


DATE OF BIRTH:
*

PHOTOGRAPH:

PERMANENT ADDRESS:
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BATCH OF GRADUATION:
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COLLEGE:
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COURSE:
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BRANCH:
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SEX:
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EMAIL ID PRIMARY:
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EMAIL ID SECONDARY:


PHONE NO PRIMARY:
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PHONE NO SECONDARY:


LINKEDIN ACCOUNT LINK:
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HIGHER DEGREE:


COLLEGE FOR MASTERS/PHD:


CURRENT CITY:
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CURRENT STATE:
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CURRENT COUNTRY:
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COMPANY NAME:
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JOB DESIGNATION:
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PAST COMPANIES:


PAST DESIGNATION:


OTHER INFORMATION:



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