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Alumni Registration Form
Government Polytechnic, Jintur
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* Indicates required question
<Surname> <Middle Name> <First Name>
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Your answer
Gender
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Male
Femal
Date of Birth
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MM
/
DD
/
YYYY
Email
*
Your answer
Address for correspondence
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Your answer
Phone Number
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Your answer
Department
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Civil Engineering
Mechanical Engineering
Computer Engineering
Year of Admission-YYYY
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Your answer
Year of Passing-YYYY
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Your answer
Current company working for.
If You are entrepreneur write Entrepreneur and your company name. If you are studying write student at <Institute name>
*
Your answer
Designation
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Your answer
Field of Specialization
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Your answer
Special Achievements after Leaving G P Jintur
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Your answer
Address of Company*
Your answer
*
Your answer
WhatsApp Mobile Number
*
Your answer
Mobile numbers of your known batch mate or college mates
*
Your answer
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