AMITY UNIVERSITY

MADHYA PRADESH
(Established by Ritnand Balved Education Foundation)
ALUMNI FORM
1. Personal Details:

(a) Name: _________________________________________

(b) Gender: _________________________________________

(c) Date of Birth: _________________________________________

2. Contact details:

(a) Address: _____________________________________________________

_______________________________________________________________________

(b) Mobile Number: _________________________________________

(c) Landline Number: _________________________________________

(d) email_id: _________________________________________

3. Parent’s Details:

(a) Father’s Name: _________________________________________

(b) Occupation _________________________________________

(c) Parent’s Contact No.: _________________________________________

(d) Parent’s email id: _________________________________________

4. Present Address: _________________________________________

_______________________________________________________________________

5. Permanent Address: _________________________________________

6. Programme : _______________________________________________

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7. Joined Amity in Year: _______________________________________________

8. Batch Pass Out Year: _______________________________________________

9. Current Status : Employed Business Home maker Studying

10. Current Status If Employed:

(a) Employment Type: _______________________________________________

(b) Present Employer _______________________________________________

(c) Designation _______________________________________________

(d) Address: _______________________________________________

_______________________________________________________________________

11. If in Business:

(a) Type of Business: _______________________________________________

(b) Address: _______________________________________________

12. Higher Studies Details:

(a) Courses taken: _______________________________________________

(b) Specialization: _______________________________________________

(c) Institute’s Name _______________________________________________

13. Memorable Moments at AUMP __________________________________________

14. Has AUMP contributed to your advancement in your life/career? If yes, how?

_____________________________________________________________________________

Name & Signature: Date :