Alumni Registration Form

Particulars of Alumni

Name*

Date of Birth*

Branch of Engineering*

Mobile Number*

Gender*

Blood Group*

Year of Passing*

Alternative Mobile Number

E-mail id*

Permanent Address*

Special Achievement during student in the Institute

Employment Details

Working in Govt/Private/PSO/NGO

Entrepreneurship

Retired

Organization/Employer*

Designation

Office Address*

If self employed, name and address of the Entrepreneur/Firm

If retired, Organization

Retired on

Other please mention

How you want to serve AEI as alumni?

Alumni members may donate using same Qr code or in the same account in the name of institute in the form of cash / kind and donation above Rs. 5000 will be displayed in the institute

Membership Fee
₹500
(Online payment in Alumni Account)

Account Details:-
Account Name- Alumni-Assam Engineering Institute
Account number- 1207104000071211
IFSC Code- IBKL0001207

Signature*

Please upload your signature in jpg, jpeg or png format. Maximum Allowed Filesize (10MB).

Upload Payment Receipt*

Please upload your signature in jpg, jpeg or png format. Maximum Allowed Filesize (10MB).

Please type the characters*

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30 days free trail for new users

30 days free trail for new users

30 days free trail for new users

30 days free trail for new users

30 days free trail for new users

30 days free trail for new users

30 days free trail for new users