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ALUMNI MEET REGISTRATION FORM

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Phone No: 044-27264028 Fax: 044-27264285 Email : [email protected]

ALUMNI MEET REGISTRATION FORM

NAME IN CAPITALS

REGISTRATION No. BRANCH:

DATE OF BIRTH AGE:

MARITAL STATUS

E-mail Address

Mobile :

Permanent Address(Residential) Present Address(for communication)

Year of association with SCSVMV University: From To

ACADEMIC RECORD: Year Branch of

passing

BE / B.Tech.

ME/MBA/MCA/MA/Ph.D/M.Phil B.Ed/B.com/BCA/B.Sc

Others(Specify):

Present Position / Designation:

Present Employer:

Any other information / suggestions :

After completion please return this proforma to Prof. V. SWAMINATHAN

HOD (E & I) AND PLACEMENT OFFICER SCSVMV UNIVERSITY

ENATHUR, KANCHEEPURAM – 631 561.

Signature of the Member withdate

Referensi

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