BVIMR ALUMNI REGISTRATION FORM
All Alumni are requested to become member of UNITED BRETHREN.For details contact Dr. A. K. Srivastav (Email : srivasatv64@gmail.com). Help us to keep you informed about all the current happenings in your college by logging your details and sending us your suggestions.
NAME
Your answer
BATCH DETAIL
COURSE
Profession /OCCUPATION
BIRTHDAY
MM
/
DD
/
YYYY
WEDDING ANNIVERSARY
MM
/
DD
/
YYYY
RESIDENTIAL ADDRESS
Your answer
CITY
Your answer
STATE
Your answer
COUNTRY
Your answer
PHONE NO
Your answer
MOBILE NO
Your answer
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