GPC Alumni Association

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Govt. Polytechnic College Jagpur road, Balaghat(M.P.) Pin- 481001

Alumni Registration Form

Title*

Full Name*

Father Name*

Diploma Branch*

Roll Number*

Year of Passing*

Date Of Birth*

Email Id*

Phone*

Higher Qualification (If any)

College/Institude:

Occupation*

Designation

Organization/Company

Details about the Organization

Job Profile

Residential Address*

Office Address*

Scope for the Diploma Student in Your Organization/Company

How Can You support this Institute*

Financially

In Infrastructure Development

In the Academic Field

In Campus Development

Any other support

If any other type then please specify

Upload your recent Photo*

Alumni Registration Form