Alumni Registration Form Student History Study Center AGRA AHEMDABAD AJMER ALIGARH ALWAR AURANGABAD BAREILLY BATHINDA BHUBANESWAR OLD BHUBANESWAR-RKL CHANDIGARH DEHRADUN GAILGAON GHAZIABAD JABALPUR JAIPUR JALGAON JAMMU JAMMU JHANSI KORBA KOTA KOTDWAR LATUR MATHURA MEERUT NAGPUR HINGANGHAT NAGPUR LAXMI NAGAR NAGPUR MOUDA NAGPUR SADAR OSMANABAD PUNE ROURKELA SRINAGAR YAVATMAL Year of Joining 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 Joining Class Class XI Class XII Class XII Pass Personal Details Student Full Name Gender MaleFemale Marital Status SingleMarried Date of Birth (DD/MM/YYYY) Father Name Mobile No (10 digit) E-Mail ID City State Andhra Pradesh Arunachal Pradesh Assam Bihar Chhattisgarh Goa Gujarat Haryana Himachal Pradesh Jammu and Kashmir Jharkhand Karnataka Kerala Madhya Pradesh Maharashtra Manipur Meghalaya Mizoram Nagaland Orissa Punjab Rajasthan Sikkim Tamil Nadu Tripura Uttar Pradesh Uttarakhand West Bengal Andaman and Nicobar Chandigarh Dadra and Nagar Haveli Daman and Diu Lakshadweep Delhi Pondicherry Other Telangana Complete Postal Address Country Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antigua & Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas, The Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia & Herzegovina Botswana Brazil British Virgin Is. Brunei Bulgaria Burkina Faso Burma Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Rep. Chad Chile China Colombia Comoros Congo, Dem. Rep. Congo, Repub. of the Cook Islands Costa Rica Cote d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Faroe Islands Fiji Finland France French Guiana French Polynesia Gabon Gambia, The Gaza Strip Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, North Korea, South Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Fed. St. Moldova Monaco Mongolia Montserrat Morocco Mozambique Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria N. Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Helena Saint Kitts & Nevis Saint Lucia St Pierre & Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome & Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad & Tobago Tunisia Turkey Turkmenistan Turks & Caicos Is Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Venezuela Vietnam Virgin Islands Wallis and Futuna West Bank Western Sahara Yemen Zambia Zimbabwe Other Educational Details Graduation Institute Name Passing Year 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 Branch Chemical Engineering Civil engineering Electrical Engineering Mechanical Engineering Electronics IT Computer Science Other Post Graduation (PG) Institute Name Passing Year 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 Specialisation Doctorate Institute Name Passing Year 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 Topic Professional Details Company Name Designation Awards / Honors Login Details User ID (email) Password Confirm Password Submit Your Details

Bansal Classes Pvt. Ltd. Kota
'Gaurav Tower', A-10 Road No. 1, IPIA Kota - 324005 (Rajasthan) India
Phone : 0744-2423738/39/2421097/2424097 | Fax No : 0744-2436779 | Email : alumni@bansal.ac.in | Website : http://bansal.ac.in