Kalinga University Raipur, Best University in Chhattisgarh UGC-approved

Name*

Name of Father*

DOB (dd/mm/yyyy)*

Course*

Batch*

Enrollment No *

Residential Address

Pin code

Mobile No*

Phone No

Personal Email ID*:

Batch:

Occupation (Please Tick)*

Employed Higher Studies Self Employed Home Maker Other

In Case Employed :

Company Name

Designation

Office Address

Pin code

In Case Studying :

Course Name

University/ College Name

In Case Self Employed :

Nature of Business:

Name of Company

Any of Your Special achievements which you would like to mention

Alumni Membership Fee:

One Year INR 500-/ Lifetime INR 3000-/

Undertaking:

I request you to register me as a member of Kalinga University Alumni Association. I agree to abide by the rules & regulations of the Alumni Association.

* Membership Fee can be paid via Online/ DD/ Cheque / Cash. DD/ Cheque will be in favour Kalinga University Alumni Association Society

Please suggest in what way you can contribute for university development:

    Mentoring students.
  Contributing scholarships to deserving students.
    Sharing your expertise and best practices.
    Supporting in internships and placements of students.
    Supporting in getting permissions for industrial visits and trainings.
    Arranging/Contributing funds through Donations/ Fund raising etc.

ALUMNI REGISTRATION FORM

ALUMNI REGISTRATION FORM

Please suggest in what way you can contribute for university development: