Alumni Association :: Sambalpur University, Jyoti Vihar, Burla.

Personal Details

Full Name

Email ID

Alternative Email ID

Mobile Number

Alternate Contact No.

Gender

Male

Female

Other

Marital Status

Unmarried

Married

Date of Birth

Anniversary Date

Photo

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Academic Details

Department

Course

Year of Passing

University Regd.No.

Permanent Address

City

State

Country

Address

Pin/Zip

Present Address

Same as Address for Permanent

City

State

Country

Address

Pin/Zip

Job Details

Current Job Description

Employed

Selfemployed

Current Position Held

Current Job Organisation Name

Current Job Address

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Total Year of Experience

Area of Specialization

(Maximum 100 characters)

Security Details

User ID

Password

Confirm Password

Type the security text

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Alumni Registration