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XIMB Alumni Association

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1. Personal Details

First Name

Middle Name

Last Name

Date of Birth

Email Address

Password

Strong password required.

Mobile Number

WhatsApp Number

Gender

City

State

Country

Marital Status

Child 1 Name

Child 1 Date of Birth

Child 2 Name

Child 2 Date of Birth

PIN Code

2. Education Details

Campus

School / Department

Course

Batch (Year)

Degree / Diploma Awarded

Roll Number

Membership Number

Specialization

Undergraduate

Postgraduate

Doctoral / Post-PG

3. Occupation Details

Employment Status

Organisation / Company

Designation / Role

Joining Date

LinkedIn Profile URL

Corporate Email

Facebook

Instagram

Twitter

4. Uploads & Submit

Profile Photo

Maximum size: 10 MB.

Optional.