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ALUMNI ASSOCIATION REGISTRATION FORM
For any query contact Dr. Indrajit Basu (Secretary SKPC Alumni Association, Mobile no. 9850316583) or Dr. Kishor Dhole (Treasurer Alumni SKPC Association, Mobile no. 9823666359)
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* Indicates required question
Email id
Your answer
1. Name
*
Your answer
2. Mobile (Whatsapp) number
*
Your answer
3. Course Offered
11 th and 12 th standard
BA
BSc
BSc IT
BCom
MA
MSc
MSc IT
MCom
Other:
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4. Year of passing (yyyy)
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5. Present job profile/Post
Your answer
6. Name of the Organisation
Your answer
7. Present address with pin code
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8. Please tick below
*
I agree to pay Rs. 100 (one time) as alumni registration fees to become life member.
Required
9. QR Code for the payment of Registration fee Rs. 100. (Life Member).
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10. Bank Details for payment
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11. Write payment slip/number/id
*
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12. Donation if any (optional)
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13. Write donation payment slip/number/id
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14. Link to join Alumni WhatsApp group
(Link will be visible after clicking Submit button at the end)
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