Tulaskar College of Pharmacy Hinganghat Dist. Wardha 442301

New Alumni Registration

Salutation *

First Name *

Middle Name

Last Name *

Change in Name, if any

Gender *

Male Female Other

Birth Date *

Marital Status

Mobile/WhatsApp *

Alternate Mobile

Email *

Permanent Address *

Village/City *

District *

State *

Country *

Educational Information

Program *

Course *

Branch (If M.Pharm)

Enrollment No *

College Roll No *

Admission Year *

Passing Year *

Professional Information

Employment Type *

Current Working Organization *

Current Working Place *

Current Working Designation *

City *

State *

Country *

Venture / Business (if any)

Higher Studies Details

Present Status *

Degree *

College Name *

University Name *

Present Residential Details *

City *

State *

Country *

Desired Role of Alumni towards Institute *

As a Resource Person for Guest Lecture, Seminar etc.

For Placement of Present Students.

Contributing / Arrangement of Hospital / Industrial Visit.

Social Activities (Blood Donation Camp, Health Checkup Camp, Orphanage / Old Age Home Visit etc.)

Student Counseling

Other

Additional Information

Subject

Message