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Alumni Registration Form

Name(*)
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Father’s / Husband Name(*)
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Date of Birth(*)
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Batch and Course Studied
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Your / Family Photo(*)
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Email(*)
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Work Experience
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Type of Employment – Self Employment / Working (If Working, please fill)

Designation
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Department
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Organization Address
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Organization Email
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Organization Contact No
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Spouse Name
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Spouse Profession, If working:-

Profession
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Organization
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Designation
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Place
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Date of Anniversary
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Details of Children

Name of the Child
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Gender
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Age
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Area of Interest

Self
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Spouse
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Children
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Stay Arrangement required
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Payment Details (Favouring of Vidyasagar Institute of Management, Bhopal)

Cheque / D.D No
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Date
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Here, we invite your best views about our Institute. First Three best views will be awarded by the Institute.

Your views(*)
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If Payment made by Internet Banking, Please mention the Transaction details of NEFT / RTGS

Transaction details
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Note: -
1. Institute Account Details: -
  1. Bank            –  State Bank of India
  2. I.F.S. Code  –  SBIN0030005
  3. A/c No.        –  53023547759
2. Kindly enclose D.D. / Cheque of Rs. 5,000/- for family and Rs. 3,000/- for single person. 
   (In case, you don’t need stay arrangement, kindly enclose D.D. / Cheque of Rs. 1,500/-)