Maharshi Dayanand University, Rohtak

Alumni Registration Form for University Teaching Departments (UTD) only
MAHARSHI DAYANAND UNIVERSITY,ROHTAK,HARYANA,INDIA

To include your name in the alumni database please fill in the alumni registration form.
This Registration form is applicable to the students who have passed out from University Teaching Departments and not from affiliated colleges

Category	Resident Indian	Non Resident Indian	Foreign Members
Life Member	Free	Free	Free

Note : * Fields are mandatory.

First Name *

Middle Name*

Last Name*

Date OF Birth*

Gender

Marital Status

Male Female

Single Married

Name in University Record

College

Course

Year of Joining University

Year of Leaving University

Email Id*

User Login Id*

Password*

Confirm Password*

Residential Address

Street Address*

City

State

Country

Telephone(Res.)*

Mobile

Country code		City code		Number (eg-91-11-3291111)
	-		-

Current Employment

Designation

Organisation

URL

Office Address

Telephone

Office Email*

Country code		City code		Number (eg-91-11-3291111)
	-		-

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