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Alumni Registration Form
Government Polytechnic, Jintur
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* Indicates required question
Name
*
<Surname> <Middle Name> <First Name>
Your answer
Gender
*
Male
Female
Date of Birth
*
MM
/
DD
/
YYYY
Email
*
Your answer
Address for correspondence
*
Your answer
Phone number
Your answer
Department:
*
Civil Engineering
Mechanical Engineering
Computer Engineering
Electronics and Telecommunication
Instrumentation
Year of Admission
*
YYYY
Your answer
Year of Passing
*
YYYY
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
*
Your answer
Field of Specialization
*
Your answer
Special Achievements after Leaving G P Jintur
*
Your answer
Qualifications attained after leaving G P Jintur
*
Your answer
Address of Company
*
Your answer
WhatsApp Mobile Number
Your answer
Mobile numbers of your known batch mate or college mates
Your answer
OUR COLLEGE...
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