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CPMBians Details Submission Form

Dear CPMBian,
Please use the form below to provide or update details about you or our CPMB alumni friends. This will be added to the World-wide list of CPMBians, so that we all can be in touch easily.

Name (Initials at the back)
Degree
Year of Passing
Present Position
Department
Institute
Address
Country
ZIP / PIN
For telephone/fax numbers please include country and area codes
Telephone (Work)
Telephone (Home) (Optional)
Fax
Email
Home Page URL

or
Thank you for the information!!
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