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JAMIA INSTITUTE OF ENGINEERING AND MANAGEMENT STUDIES
Alumni Registration Form
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* Indicates required question
Email
*
Your email
Name of Student
*
Your answer
Gender
*
Male
Female
Date of Birth
MM
/
DD
/
YYYY
E-mail ID Personal
*
Your answer
Job E-mail ID
Your answer
Mobile Number
*
Your answer
Alternate Mobile Number
Your answer
Year of Passing B.E
*
Your answer
Branch
*
Civil Engineering
Computer Engineering
Electrical Engineering
Mechanical Engineering
Electronics & Telecommunication Engineering
Whether P.G pursued
*
Yes
No
Name of P.G with Specialization
Your answer
Year of Passing of P.G
Your answer
Whether Ph.D pursued
*
Yes
No
Current working designation
*
Your answer
Current Annual Package
*
Your answer
Office Address
*
Your answer
Permanent Address
*
Your answer
Are/were you on abroad assignment
*
Yes
No
Details if Yes
*
Your answer
Are you willing of deliver guest lecture to students
*
Yes
No
Mode of delivery if Yes
*
Online
Offline
Suitable Schedule to Deliver Lectures
Your answer
Any other information
Your answer
Suggestions if any
*
Your answer
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