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Alumni Registration Form
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* Indicates required question
Email
*
Your email
Name of Participant
*
Your answer
Phone Number
*
Your answer
Permanent Address
*
Your answer
Current Address
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Marital Status
*
Single
Married
Course completed at RIE
*
PGCTE (Post Graduate Certificate course for Teaching of English)
CPD (Continuous Professional Development) Course
Other:
Required
Course/ Workshop Name (like PGCTE-120, CPD-10)
*
Your answer
Course/ Workshop Completion date
*
MM
/
DD
/
YYYY
Why I would like to come back to RIE ?
*
Your answer
Fondest Memories of RIE
*
Your answer
I confirm that the above furnished information is correct and hereby give my consent to be registered in the
alumni list of Regional Institute of English
.
*
Yes
No
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