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Alumni Registration Form
Dear Alumni,
Welcome back to MK Government Polytechnic, Jattal, Panipat.
Please fill Alumni Registration form. In case of any not applicable field, please enter NA as response.
* Indicates required question
Name
*
Your answer
Father Name
*
Your answer
Gender
*
Male
Female
Email Id
*
Your answer
Correspondence Address
Your answer
Admission Year (Eg. 2017, 2018 etc.)
*
Your answer
Year of Leaving Institute
*
Your answer
Branch
*
Chemical Engg.
Computer Engg
Electrical Engg.
Mechanical Engg.
Textile Technology
Contact No.
*
Your answer
Employment Details
*
Industry Job
Self Employed
Govt. Employee
Higher Study
Other
Organisation Name/Institute Name (in case of Higher Study)
*
Your answer
Address of Organisation/Institute
*
Your answer
Designation ( in case of working)
*
Your answer
Annual Income (Rs.)
*
0 - 10,000
10,001 - 15,000
15,001 - 20,000
20,001 - 30,000
30,001 - 50,000
50,001 and above
LinkedIn URL (if available)
Your answer
Would you like to come for alumni meet, If the institute organizes the same?
*
Yes
No
Maybe
Will you like to help in Placement
*
Yes
No
Maybe
Any Suggestion for Improvement
Your answer
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