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Alumni Registration

Alumni Registration Form

Fields marked with * are mandatory. Please fill all mandatory fields for form submission.

Personal Information
Full Name*
 
Date of Birth*
Gender*
Marital Status*
Upload Your Photograph
Supported files are (JPEG, GIF, PNG)
Academic Information (Mangalayatan University)
Name of the Specialization*
Name of the Course Type *
Name of the Course Name *
 
Passing Year *
 
Enrollment No
Contact Information
Postal Address*
 
City*
 
State *
 
Country *
Pin Code
Email Address*
Mobile Number*
Phone Number (With STD Code)
Present Organisation Details
Organization Name*
Office Address
City*
State *
Country *
Pin Code
Official Phone Number (With STD Code)