| ALUMNI ASSOCIATION |
| Government College,
Hyderabad |
| (PHULELIANS) |
| MEMBERS BIO DATA FOR
ALUMNI WEB SITE |
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| NAME: |
(First)___________________ |
(Middle)________________ |
(Last)_____________________ |
| OCCUPATION |
_______________________ |
DESIGNATION __________ |
_________________________ |
| TELEPHONE |
(Res.) __________________ |
(Off.) __________________ |
(Mobile) ___________________ |
| ADDRESS |
H. No.___________________ |
_______________________ |
__________________________ |
|
STREET_________________ |
_______________________ |
__________________________ |
|
CITY ___________________ |
POSTAL CODE___________ |
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| E-MAIL |
_______________________ |
_______________________ |
__________________________ |
| COLLEGE ATTENDEND |
FROM __________________ |
TO ____________________ |
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| ACHIEVEMENTS: |
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| (I) IN COLLEGE |
________________________ |
_______________________ |
__________________________ |
|
_______________________ |
_______________________ |
__________________________ |
| (II) AFTER COLELGE |
_______________________ |
_______________________ |
__________________________ |
|
_______________________ |
_______________________ |
__________________________ |
|
_______________________ |
_______________________ |
__________________________ |
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SIGNATURE |
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