Alumni Alma Mater Connect-Registration Form

Please enter your Name
Please enter your Batch
Please enter your Specialisation
Please enter a valid Email ID
Please enter your Phone Number
Sl. No. Organisation Designation / Role Duration (From- To)
1
2
3
Sl. No. Wish to participate in: Topic / Area of Interest Preferred Date and Time
1 Alumni Speak Series
2 Hospitium (Bi- Annual Magazine)
3 Both the Above

For further detail please contact: Dr. Prasanna Kumar. J. P, Email - prasannakumar@msrchm.edu; Mobile - +91 9448711944