CIRS Alumni Data Form

CIRS is aiming to bring our family together for a variety of events in the upcoming years, so we want to know how our dear Alumni have grown in these years.
NOTE: The data provided in this form will be confidential. We sincerely appreciate your time and effort in providing the following information.

Full Name:*
Gender:
Date of Birth:
CIRS Roll No.:*
Admission in CIRS: Year -:	Grade:
Passed out from CIRS: Year -:	Grade:
Contact No. [Mobile]:	Landline:
Email ID:*
Marital Status:
Father's Name:	Occupation:
Mother's Name:	Occupation:
Spouse's Name:	Occupation:
Permanent Address [For Communication]:
Country: State:

Education / Employment Details

Education Qualification [Either Completed / Pursuing]		Current Employment Information [if appl.]
University :		Name of Organization
Course :		Type of Organization
Year Studying		Designation
Place		Place

Any special achievement in college / at work /others which you would like to share:

A line on memories of CIRS:

Once completed, please click "SUBMIT"