Alumni Registration

Note : All the fields marked with * are mandatory
1. Name* :
First Name Middle Name Last Name
    Sex :      Date Of Birth :
2. Maiden Name :
3. Father / Husband's Name* :
4. Course Studied in the college* :
  Passed out in / left in Year * :   YYYY
5. Activities I was involved during college
 
Activity1 :
Activity2 :
Activity3 :
Activity4 :
6. Contact Address* :
 
Line 1
Line 2
City
State / Country
Postal / Zip Code
7. Alternate Address* :
 
Line 1
Line 2
City
State / Country
Postal / Zip Code
8. Telephone Numbers.* :
 
Residence No* :
Mobile No* :
Office No* :
Fax No* :
9. Email * :
 
1.* :
2. :
10. Qualifications earned after college* :
 
Degree/Dip/Cert. Institution Major Subjects Completed in the Year
11. National/International Honours/Fellowship/Professional Associations* :
 
1.
2.
3.
4.
5.
12. Presently I am * :
 
Employed in : Others
Practicing as :
In Business of :
Studying at :
Home Maker/Others :
13. Employment / Professional / Business Details:
 
Designation :
Organisation :
Office Address :
14. My other area of interest :
 
Others
15. The area of Aurobindo in which I would like to invest my time:
 
For college :
For Students :
For Association :
16. Preferred contact method : Others
17. Name of person or any other means I got to know about Alumni Association.
 
18. Registration Fee /-Rs.
 
A. The life membership fee for alumni association is 1000 RUPEES.