XLRI Alumni Registration Form

Dear Exceller, Just complete this form. Click on Submit when ready to send.

 

Name
E-Mail Address
Personal Email
Programme of Study BMD PMIR BME Others
Year of Passing
Company Name
Designation
Department/Division
Office Tel.
Residence Tel.
Office Address
Residential Address
Permanent Address
Preferred Mailing Address Office Residence Permanent Residence
Marital Status Single Married
Spouse Name
Message to XL