MARATHA MANDALS ENGINEERING COLLEGE, BELGAUM

ALUMNI REGISTRATION FORM

Name :__________________________________________D.O.B :

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Batch : ______________ Branch : ___________________U.S.N:2MM __________

Fathers name :___________________________Contact number ______________
E-mail id :_________________________@__________ Mobile Number : +91_____
Present address : ____________________________________________________
__________________________________City:_____________State:____________
Permanent address : __________________________________________________
__________________________________City:_____________State:____________
Present employment : Designation _______________________________________
Address : ___________________________________________________________
__________________________________ City:_____________State:___________
Married/Unmarried : ____________________Date of marriage : ___/______/20____
Achievements in career : _______________________________________________
Any other achievements ( GATE/PSU/CIVIL Service .etc ) :
___________________________________________________________________
Suggestions for further improvement of the Institute/Department
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
Member id number( for office use)

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at : www.facebook.com/groups/mmecbgm
Mail your Application on : mmec.alumni@yahoo.com