Alumni Registration, Ganesh Dutt College Begusarai

ONLINE REGISTRATION FORM
(Please enrol me as a member of the association)

Name*

Gender*

Please Select Gender

Father's Name*

Date of Birth ( DD-MM-YYYY )*

Please Enter Date of Birth

Occupation*

Please Enter Occupation

Current Company/Firm/Institution with Address*

Please Enter Company/Firm/Institution Details.

Mobile Number*

Please Enter Mobile Number.

Email Id*

Please Enter Email Id.

Upload Photograph*

Please Select Photograph

Upload Photograph

Association with G D College Details

Highest Degree Obtained*

Please Enter Highest Degree Obtained.

Passing Year*

Please Enter Passing Year.

Faculty/Department Name*

Please Enter Faculty/Department Name.

University Roll Number/Enrolment Number*

Please Enter University Roll Number/Enrolment Number.

Certificate / Marksheet*

Please Select Certificate / Marksheet

Certificate / Marksheet

Residential Address Details

Residential Address*

Please Enter Residential Address.

Pin Code*

Please Enter Residential Pin Code.

Country*

Please Enter Residential Country.