INMANTEC ALUMNI NETWORK

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Registration Form

FIRST NAME *

MIDDLE NAME

LAST NAME

DATE OF BIRTH *

YYYY

COURSE *

Year of Passing out *

MOBILE NO. *

E-MAIL *

CURRENT ADDRESS *

CURRENT EMPLOYMENT *

NAME OF ORGANIZATION *

DESIGNATION *

KINDLY FURNISH THE DETAILS OF YOUR BATCH MATES YOU ARE IN TOUCH WITH:-

NAME --- CONTACT NO. --- E-MAIL ID

Submit

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