XAVIER INSTITUTE ALUMNI ASSOCIATION
Alumni Database Information up-gradation Form
Name *
Your answer
Course *
Batch *
Gender *
Date of Birth *
MM
/
DD
/
YYYY
Marital Status *
If Married, Anniversary Date
MM
/
DD
/
YYYY
Mobile no 1(Whats app Number Please) *
Your answer
Mobile no 2
Your answer
Email Id 1 *
Your answer
Email Id 2
Your answer
Current Address (With Pin Code) *
Your answer
Permanent Address (With Pin Code) *
Your answer
Current Organization *
Your answer
Current Designation *
Your answer
Previous Organization
Your answer
Previous Designation
Your answer
Total Years of Experience (in Years)
Your answer
Area of Experience/Expertise
Your answer
One time registration fees submitted (Only for MBA RM Batches) *
Is your spouse a part of alumni association *
Would you wish to teach few classes/sessions for students in future in your area of Experience/Expertise *
Would you wish to help in syllabus up-gradation *
Are you interested in helping in Internship, placement and admission. *
Are you interested in facilitating the visits/ exposure etc at your location *
Are you interested to participate in activities Organised/Conducted by Alumni Association (In-Future) *
Are you interested to subscribe for XIAA digital newsletter (In-Future) *
Are you interested to become batch representative *
Are you interested to join Mobile App of Alumni Association, when launched *
Are you interested to donate money to Alumni Association *
Give your suggestion for improvement
Your answer
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This form was created inside of Xavier Institute of Management, Jabalpur, India.