Alumni Enrollment form
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| Name: | |
| Nick/lobby Name: | |
| Email Address: | |
| Address: | |
| City: | |
| PIN/Zip Code: | |
| State/Province: | |
| Country: | |
| Passing Year: | |
| Course(s): | B. Tech. M. Tech. Ph. D. |
| Roll no. | |
| Profession: | |
| Designation: | |
| Company/Institution: | |
| Phone: | |
| Fax: | |
| Few words from memories at IT BHU: | |
| Comments/ Suggestions: | |