|
HPS Alumni
Registration Form
|
|
Your
e-mail and other contact information is
highly confidential and it will not be
divulged to any party without your permission.
|
|
Though
most of following fields are not mandatory,
we will appreciate if you fill all the
fields as that will help us create a comprehensive
alumni directory.
|
| * Indicates
mandatory field |
| Gender: |
|
| Marital
Status: |
Single
Married |
| First Name: |
* |
| Middle Name: |
|
| Last Name: |
* |
| Nick
Name: |
|
| Date of birth: |
(yyyy)*
|
| Wedding Anniversary: |
(yyyy) |
| Hobbies: |
|
| Present Contact
Information |
Address:
|
| City: |
|
| State: |
|
| Pin code: |
|
| Country: |
|
| Phone
No: |
|
| Fax: |
|
|
Office
Contact Information
|
| Company: |
|
| City: |
|
| Country: |
|
| Work
Ph: |
|
| Your
website: |
|
|
HPS
Information
|
| Year of joining HPS: |
*
|
| Year of passing out: |
*(for eg.1976)
|
| Class: |
*
|
| Your
stream in class 12: |
Arts
Commerce
Maths
Science
|
| Select
your house: |
Nagarjuna
Nalanda
Taxila
Vijayanagar
East Wing
West Wing * |
| Position
Held: |
(eg:Prefect,Hockey
Captian,House Captian,Deputy Head Boy, etc) |
| Select
your E-mail(User Id) and password. |
E-mail: |
*
|
| (Please
enter a valid E-mail.We will be sending
a mail to this E-mail Id, where you need
to confirm your Registration.) |
| Password: |
* |
| Confirm
Password: |
* |