Alumni Registration Form

Title : *

First Name: *

Middle Name:

Last Name:

Gender: *

Male    Female

Date of Birth (dd/mm/yyyy): *

Personal Email Id: *

Mobile No: *

Address: *

Course: *

Graduation Year: *

Current Status:

Working    Searching for Job    Home Maker

Organization:

Designation:

Area of Specialization:

Job Location:

Would you like to receive updates about the events of Pragati college?:

Yes    No

As an Alumnus how would you like to be engaged?:

Be a brand ambassador   Be a mentor  
Batch co-ordinators   Guest lectures  
Endowments   Be part of the Chapter Committee activities  
Events sponsors   Philanthropic initiatives  
Conduct work-shops   Any other-please specify  

Any Other activity in which you would like to be engaged as an alumnus:

Any Other Achievements or Awards: