Goverment of Karnataka
Department of Collegiate Education

Alumni Registration Form

PERSONAL INFORMATION
Name* Gender *
Blood Group Mobile No*
Date of Birth* Qualification*
Email ID* Company web Site
Personal web Site Upload Photo(JPEG only)*
ACADEMIC INFORMATION
Qualification Details
District* College*
Batch(passing year)* Degree*
Additional Qualification (optional)
District College
Batch(Passing Year) Degree
CONTACT INFORMATION
Residence Address* Office Address with Contact Number
PROFESSIONAL INFORMATION
Occupation* Organization*
Designation*
COMPETITIVE EXAMS CLEARED [please provide details]
COMMUNITY ORIENTED ACTIVITIES
HOBBIES/INTERESTS/TALENTS/ACHIEVEMENTS (Provide brief description)
MEMBERSHIP IN REPUTED CLUBS/SOCIETIES/BODIES/ORGANIZATIONS/GROUPS
Share your thoughts *
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