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Maulana Azad College

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Alumni Registration

"For registration Please enter the required details.The information entered here is totaly confidential." * Must be filled.

Personal Information
 
  First Name* 
  Middle Name
  Last Name
  Father's Name
  Gender
  Date of Birth * (DD/MM/YYYY)
  Degree* 
  Department*
  Session * 
TO
Present Address
  Address Line 1* Address Line 2
 
 
City  Pin Code 
State   Country
 
Permanent Address
Permanent Address
  Address Line 1* Address Line 2
 
 
City  Pin Code  
State   Country
Occupational Information
  Company Name*  Designation    
  Place of Work   Country  
  Mobile Number Office Number 
Login Information
 
  Email Id*
  Password*
  Retype Password *
Terms and Conditions
 
 

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