Professional Documents
Culture Documents
DearStudent,
Youwillsoonbecomeanalumnus/alumnaofIITBombay.Wewouldliketoremainintouch
withyouasyoufollowyourcareer.Pleasefillinthisformtohelpusupdateourdatabase.
Thankyou,
Dean,Alumni&InternationalRelations
IITBOMBAYALUMNIINFORMATIONFORM
A)PERSONALINFORMATION
A)PERSONALINFORMATION
Dr./Mr./Ms.__________________________________________________________________
(FirstName)
(MiddleName) (LastName)
NicknameatIITB(ifany):_______________________________DateofBirth:_______________
EmailID(notIITB):_________________________________________________________________
DoyouwishtokeepyouremailIDprivate?Yes/No
URL:______________________________________________________________________________
Hostel:______________
Room:__________________
Mailingaddress:____________________________________________________________________
___________________________________________________________________________________
City:_______________________Pincode:____________State:_____________________________
Country:____________________PhoneNo(mobileandlandline).:_________________________
B)ACADEMICINFORMATION
B)ACADEMICINFORMATION
IITBDegree:_______________Department:____________________________________________
RollNo.:_________________YearofJoining:______________YearofGraduation:__________
OtherDegreesfromIITB(ifany):______________________________________________________
Areaofspecialisation:________________________________________________________________
Thesis/Projectguide:
1)
Prof._________________________________________________
2)
Prof._________________________________________________
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Awards/ScholarshipsreceivedwhileatIITB:
___________________________________________________________________________________
___________________________________________________________________________________
C)FUTUREPLANS:
Whatareyourplansimmediatelyaftergraduation?
[]Iamjoining________________________________________________________________Ltd.,
at_____________________(city)as______________________________________________.
[]Iamjoining___________________________________________________________University,
at_____________________(city)for______________________________________________.
[]Iplantosetupmyownbusiness.
[]Other,specify_________________________________________________________________.
Itmayhappenthatweareunabletoreachyouwiththeinformationyouhaveprovidedabove..
Please also provide the email addresses and telephone numbers of a few close friends or
relativesthroughwhomwemaybeabletocontactyou.
1.Email:_______________________________________Tel:_________________________________
2.Email:_______________________________________Tel:_________________________________
3.Email:_______________________________________Tel:_________________________________
4.Email:_______________________________________Tel:_________________________________
WethankyoufortheinformationprovidedandpleasestayintouchwithyourAlmaMater.
Whenever you change your address and email ID, please inform us, as well as at
alumni@iitb.ac.in.Wewishyouthebestinallyourendeavors!.
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