Personal Information Username Password Registration type --Select One--Current StudentPast Student First Name Middle Name Last Name Gender MaleFemale Email Phone & Mobile Street Address City --Select One--AhmedabadBangaloreBarodaBhopalBhubaneshwarCalcuttaChandigarhChennai(Madras)CochinCoimbatoreDelhiGoaHyderabadKanpurIndoreJaipurLucknowLudhianaMaduraiMumbai(Bombay)NagpurNoidaPatnaPuneSuratVaranasiVishakapatnam Pin State / Province --Select One--Andaman and Nicobar IslandsAndhra PradeshArunachal PradeshAssamBiharChandigarhChattisgarhDadra and Nagar HaveliDaman and DiuDelhiGoaGujaratHaryanaHimachal PradeshJammu and KashmirKarnatakaKeralaLakshadweepMadhya PradeshMaharashtraManipurMeghalayaMizoramNagalandOrissaPondicherryPunjabRajasthanSikkimTamil NaduTripuraUttarakhandUttar PradeshWest Bengal Current Address (If different than the above): City --Select One--AhmedabadBangaloreBarodaBhopalBhubaneshwarCalcuttaChandigarhChennai(Madras)CochinCoimbatoreDelhiGoaHyderabadKanpurIndoreJaipurLucknowLudhianaMaduraiMumbai(Bombay)NagpurNoidaPatnaPuneSuratVaranasiVishakapatnam Pin State / Province --Select One--Andaman and Nicobar IslandsAndhra PradeshArunachal PradeshAssamBiharChandigarhChattisgarhDadra and Nagar HaveliDaman and DiuDelhiGoaGujaratHaryanaHimachal PradeshJammu and KashmirKarnatakaKeralaLakshadweepMadhya PradeshMaharashtraManipurMeghalayaMizoramNagalandOrissaPondicherryPunjabRajasthanSikkimTamil NaduTripuraUttarakhandUttar PradeshWest Bengal Birth Month --Select One--JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember Day --Select One--01020304050607080910111213141516171819202122232425262728293031 Year --Select One--19271928192919301930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026202720282029203020312032203320342035203620372038203920402041204220432044204520462047204820492050 Almnus Information Membership Type ---Select Membership Type- --StudentFacultyEmployee Passed out Month --Month--JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember Passed out Year --Year--19271928192919301930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026202720282029203020312032203320342035203620372038203920402041204220432044204520462047204820492050 Degree Held ---Select Degree---HSC Com.HSC ArtsUndergraduateT.Y.B.ScT.Y.B.ComT.Y.B.AM.ScM.ComM.AOther Degree Held from Bhavan's College ---Select Degree---HSC Com.HSC ArtsUndergraduateT.Y.B.ScT.Y.B.ComT.Y.B.AM.ScM.ComM.AOther Subject Majored Professional Information Title ---Select Title---Officer/Executive-SeniorOfficer/Executive-MiddleOfficer/Executive-JuniorSoftware EngineerDoctorSupervisorClerical/SalespersonSelf Employed ProfessionalBusinessman/Industrialist with 10+ employeesBusinessman with 1-9 employeesShopownerStudentNot working/RetiredHousewifeOthers Profession/Occupation ---Select One--AccoutnsMedicalInformation TechnologyOthers Company/Office Name Alternate Email Work Phone Company/Office Name City --Select One--AhmedabadBangaloreBarodaBhopalBhubaneshwarCalcuttaChandigarhChennai(Madras)CochinCoimbatoreDelhiGoaHyderabadKanpurIndoreJaipurLucknowLudhianaMaduraiMumbai(Bombay)NagpurNoidaPatnaPuneSuratVaranasiVishakapatnam Pin State / Province --Select One--Andaman and Nicobar IslandsAndhra PradeshArunachal PradeshAssamBiharChandigarhChattisgarhDadra and Nagar HaveliDaman and DiuDelhiGoaGujaratHaryanaHimachal PradeshJammu and KashmirKarnatakaKeralaLakshadweepMadhya PradeshMaharashtraManipurMeghalayaMizoramNagalandOrissaPondicherryPunjabRajasthanSikkimTamil NaduTripuraUttarakhandUttar PradeshWest Bengal
