ALUMNI FORM
 

PROFORMA FOR

DETAILS OF ALUMNI FOR INCLUSION

 IN ALUMNI-BOOK OF OBA, GCTI,

 KANPUR

 

Paste Photo 

Name:

………………………………............….

 

(In Block Letter)

Passing Year:

Diploma…...

Degree…….

 

P.G………….

Present Designation:       ………………......…..……

Unit Name:

….…………………...........………..……

 

……………………...........…………….

 

City………...…

Pin.............……

 

Phone………

Fax…………

Residence:

…………............………………………

 

…………............………………………

 

City……....…….

Pin….….......…….

 

Phone………......

Mob……….......…

E-mail:

…………………………………..............

 

 

 

Signature

MOST IMPORTANT AND URGENT

Please paste one photo on the Proforma and one spare photo with name at the back

Please return the Proforma for inclusion in the Alumni-Book

Please mail this Form to:

Sri R.K. Srivastava, Hon. Secretary, 

3A, Laxmi Rattan Cotton Mills, Officers Colony, 

Kalpi Road, Kanpur-208012

Contact No. Tel. No. 0512-2242164 Mob No.9839118057

E-mail: obagctikanpur@rediffmail.com