Alumni Registration Form

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SDM College of Physiotherapy

For any further communication please contact sdmcptalumni@sdmuniversity.edu.in or office@sdmuphysiotherapy.edu.in

Email *

Full Name

Alternative Email ID

Phone No

WhatsApp No

Current Residential Address

Under Graduation Completed from (college and university name)

Year of passing UG

Post Graduation Completed from (college and university name)

Year of passing PG

PG Specialization in

Any other courses

Name of the institution (currently working in)

Present professional address and designation

Working in

Private Practice

Research

Community Setup /NGOs / Governmental Organization

Academics

None

Required

If any other kindly mention here

Whether interested in associating with Shri Dharmasthala Manjunatheshwara University, if so in Which way

Help in research

Help in collaboration

Help in visiting faculty

Help in student exchange program

Help in faculty exchange program

Other

Are you a member of any regulatory body?

Mention if any professional body officer?

Submit

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