STUDENT ALUMNI REGISTRATION FORM
Name *
Work Address
Designation
Name of organization
Address
Contact Details
Mobile *
E-Mail *
Telephone No
Home Address
Nationality
Name of spouse
Marriage Date
MM
/
DD
/
YYYY
Name of the children 1
Date of Birth
Name of the children 2
Date of Birth
MM
/
DD
/
YYYY
Name of the children 3
Date of Birth
MM
/
DD
/
YYYY
SPOUSE ADDRESS
Designation
Name of Organization
Address
Telephone No
Mobile
E-Mail
YEAR IN THE SRM NIGHTINGALE SCHOOL
From
To
From Class
To Class
If Graduated From the School, Which Year
Head of the School During that time
Teachers you Remember
1
2
3
4
5
6
Students you Remember
1
2
3
4
5
6
Date
Submit
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