Alumni Registration Form
The information provided will be kept confidential.
Name of Alumni*:  
Gender*:
  Education Details @ Dr. VSEC:
Year of Passing Class 12* :
Stream * :
  Present Status:  
Marital Status* :
Employment Type* :
  Employment Details:
Present Employer Name :  
Designation :  
  Work Location:
Country :  
State:  
City:  
  Special Achievements :
Special Achievements (Education / Job) :  
  Higher Studies Details:
Present Status* :  
Degree* :  
University Name* :  
Country* :  
State* :  
City* :  
  Present Residential Details :
Country * :  
State * :  
City * :  
Mobile * :  
Email ID *:  
Upload Recent Photograph:  
H-2 Block, Kidwai Nagar, Kanpur