Mahila Polytechnic

Alumini Registration Form

Name*

Only alphabetic characters are allowed

Mobile*

Please enter a valid Mobile number

Email*

Please enter a valid email address

Date of Birth*

Please enter a valid date of birth

Current City*

Please enter Current City

Gender*

Male

Female

Other

Batch*

Please enter Batch / Department Details

Course Attended*

Please enter Batch

Current Designation*

Please enter Batch / Department Details

Company/Depatment*

Please enter Batch

Remark*

Please enter a Remark

I agree to receive information regarding my submitted application by signing up with Chaudhary Charan Singh Post Graduate College Heonra Saifai Etawah Multidisciplinary College Affiliated to Chatrapati Shahu Ji Maharaj University Kanpur

Mon - Sat:	10 AM - 5 PM
Sunday:	Off