ALUMNI REGISTRATION FORM STUDENT

ALUMNI ASSOCIATION

ALUMNI REGISTRATION FORM * indicates required fields
Personal Details
Name *	:
Date of birth *	:
Gender *	:
Residence address *	:
City *	:		Pin Code *	:
State *	:		Country *	:
Residence Number	:	- -
Mobile *	:
Email *	:

FOR ALUMNI STUDENTS
Joined School in Year *	:		STD *	:
Passed Out/ Left In Year *	:		STD *	:

Educational Qualifications
Institute joined after GEA	:
Course taken	:
Institute joined after XII	:
Course taken	:
Institute joined after Graduation	:
Course taken	:
Highest qualification	:		Details	:
Any Other	:

Current Professional Details
Organisation name	:		Organisation type	:
Designation	:
Address	:
City	:		Pin Code	:
State	:		Country	:

Please tick any volunteer opportunities you would like to assist with at GEA:
Serving as career advisor for current students and fellow alumni
Helping plan activities / reunions

Roots in GEA (OPTIONAL)
House:	:
Favourite subject:	:
Favourite teacher:	:
Favourite room at GEA:	:
Last visit to GEA:	:
Most cherished memory at GEA:	:
GEA menu delight:	:
Has GEA contributed to your advancement in your life/career? If yes, how? :	:
What would you like to change at GEA? :	: