CIRS Alumni Registration Form
Personal Information
First Name:*
Middle Name:
Last Name:*
Date Of birth:*
Sex:*
Email:*
Relationship Status:

Description:
(Give a description about you, your family, job or anything that you want to share with your friends)
Photo:
(jpg or gif file,
Max.120 KB, Width 220 pixels)
Login Details
Password:*(5-20 characters)
Repeat Password: *
Security Question: *
Answer: *
Permanent Address (India Preferred)
Address Line1:*
Address Line2:
City:*
State:*
Country:*
Pin / Zip:*
Phone - residence: Eg: +91 44 56708131
Phone-mobile:* Eg: +91 98191 08131
Present Address
Same as Above
Address Line1:
Address Line2:
City:
State:
Country:
Pin / Zip:
Phone - residence: Eg: +91 44 56708131
Phone-mobile: Eg: +91 98191 08131
CIRS Information

Your CIRS Roll no: * 
This will also be your username.
House: *
In which class did you pass out of CIRS: *
Year of passing out from CIRS: *
Course taken in 12th: *
Privacy Settings
Keep my profile private:
(None of your friends will be able to see profile details;
but will be able to search and contact you using the form provided)
Address:
Contact Nos:
Email: Will never be displayed. Friends may contact you, by clicking on the 'Contact This User' link provided.

 
 
 I accept the terms and conditions and privacy policy
 I  have read the rules / articles as laid down by CIRS Alumni Association and accept the   same.  I also understand that membership to the Association's website does not imply membership as a member of the general body of the association.

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