Registration Form for Alumni of Indian Institutions

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Title :
Full Name * :
Gender * :  Male        Female
Present Employment & designation * :
Name of the Indian Institution from which you last studied:
(e.g. AIIMS or JIMPER) 		:
Course of study :
Year of graduation :
Are you member of any of the organisations related to India?
(e.g. MAIUG, MAAM)		 :
Your contact address in Malaysia
(e.g. residence address)*		 :
Contact number:
(e.g. mobile or residence telephone) *		 :
Remarks* :