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