DDUGU

Alumni Registration Form

Special Discount for Existing Annual Members Only (@Rs. 1100/- only).! Kindly enter registered mobile number for verification of existing annual membership

First Name: This field is required

Last Name: This field is required

Father's/Mother's Name: This field is required

Date Of Birth:

Address:

Upload Profile Picture:

File size should be less then 300 KB. Allowed file type (jpg,jpeg,png,pdf)

Email: This field is required

Mobile (WhatsApp No.): This field is required

Highest Degree Obtained from D.D.U. Gorakhpur University:

Choose Institution Type:

College Name:

Department

Year of Obtaining Degree:

Attach your Degree/(Marksheet/ID for Pursuing Students in DDU):

File size should be less then 300 KB. Allowed file type (jpg,jpeg,png,pdf).

Present Status:

Address of Working Place:

Alumni Membership:

State: