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Government Polytechnic, Miraj Alumni Meet 2021 Registration Form
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Email
*
Your email
Full Name of Student: (Surname First)
*
Your answer
Diploma in Branch:
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Civil
Computer
Mechanical
Medical Electronics
Plastic
Year of passing the Diploma
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Your answer
Year of Passing Diploma
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Your answer
Email ID:
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Your answer
Mobile No:
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Your answer
Date of Birth
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MM
/
DD
/
YYYY
Gender
*
Female
Male
Permanent Address
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Your answer
District
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Your answer
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