Alumni Registration | CHITARPUR COLLEGE, CHITARPUR, A Milestone of Higher Education in Rural Area

Alumni Registration Form

Fill up the given form below and enlist yourself into database

(Mandatory fields are indicated by a * mark after the field name)

Personal Information

Full Name *

Father's Name *

Date of Birth *

Gender *

Academic Information

Year of Passing *

Registration No. *

Department *

Program *

Professional Information

Occupation *

Organization Name *

Designation *

Work Experience *

Contact & Address

Email *

Phone Number *

Address

City *

Pin Code *

State *

Country *

Photo Upload

Alumni Photo *

I hereby accept that the information provided is accurate to the best of my knowledge. *