Alumni Registration Form
Government Polytechnic, Jintur
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Name *
<Surname> <Middle Name> <First Name>
Gender *
Date of Birth *
MM
/
DD
/
YYYY
Email *
Address for correspondence *
Phone number
Department: *
Year of Admission *
YYYY
Year of Passing *
YYYY
Current company working for: *
If You are entrepreneur write Entrepreneur and your company name. If you are studying write student at <Institute name>
Designation *
Field of Specialization *
Special Achievements after Leaving G P Jintur *
Qualifications attained after leaving G P Jintur *
Address of Company *
WhatsApp Mobile Number
Mobile numbers of your known batch mate or college mates
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