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ALUMNI ASSOCIATION REGISTRATION FORM
1.
 Name : :
2.
 Session :  : 200
3.
 Father's Name :  :
4.
 Course :  : B.E
5.
 Year of Admission :  :
6
 Current Address :   :
7.
 Permanent Address :  :
8.
 Contact No. in Karnataka :   :
8.
 :
9.
 Mobile No:  :
10.
 Email-ID :   :
11.
 Are you placed?  : Yes :
12.
 If yes please provide details:   :
13.
 Please upload a recent photo of yourself: (please check the size of the photo before upload)