Alumni Registration : Marian College Kuttikkanam

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Alumni Registration Form

Personal Information

First Name:*

Middle Name:

Last Name:*

Date Of birth:*

Sex:*

Male

Female

Email:*

Relationship Status:

Description:
(Give a description about you, your family, job or anything that you want to share with your friends)

Photo:
(jpg or gif file,
Max.120 KB, Width 220 pixels)

Login Details

Password:*(5-20 characters)

Repeat Password: *

Security Question: *

Answer: *

Permanent Address (India Preferred)

Address Line1:*

Address Line2:

City:*

State:*

Country:*

Pin / Zip:*

Phone - residence:

Eg: +91 44 56708131

Phone-mobile:*

Eg: +91 98191 08131

Present Address

Same as Above

Address Line1:

Address Line2:

City:

State:

Country:

Pin / Zip:

Phone - residence:

Eg: +91 44 56708131

Phone-mobile:

Eg: +91 98191 08131

Login Information

Username: *

Batch : *

Year of passing out : *

Privacy Settings

Keep my profile private:
(None of your friends will be able to see profile details;
but will be able to search and contact you using the form provided)

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Address:

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Contact Nos:

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Email:

Will never be displayed. Friends may contact you, by clicking on the 'Contact This User' link provided.


	I accept the terms and conditions and privacy policy
	I have read the rules / articles as laid down by Marian College Alumni Association and accept the same. I also understand that membership to the Association's website does not imply membership as a member of the general body of the association.