Personal Information

Full Name *

Date of Birth *

Father's Name *

Gender *

Blood Group

Academic Information

Year of Passing *

Last Class Studied *

Stream

Contact Information

Mobile Number *

WhatsApp Number

Email Address *

Occupation *

Present Address *

Account Information

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Profile Photograph

Recent Passport Size Photograph * Allowed: JPG, JPEG, PNG (Max 2 MB)

Declaration

I hereby declare that all information provided by me is true and correct to the best of my knowledge. I agree to abide by the rules and regulations of Nahata High School Alumni Association.