Alumni Name*

Father Name

Occupation

Mother Name

Occupation

Alumni Date Of Birth*

No of Children

Phone No 1*

Phone No 2

Email Id*

Permanent Address*

Current Address

Year of Completion*

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Completion Class*

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+2 Completion Group*
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College Studied and Place UG & PG

Name of the Course UG:*

Name of the Course PG:

Name & Address of the Working Place

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