MCKV Alumni Association

243 G. T. Road(N) Liluah, Howrah - 711204, West Bengal, India
PHONE - (033) 2654-3387/89

Submission Date :

Personal Details

FirstName * MiddleName LastName
FatherName *
Date of Birth* Enroll Number
Class Studied in Mckv
Class From* Class to* Year From* Year to*
Correspondence Address
Address Line1*
Address Line2
City / District* Zip* State: Country:
Permanent address is same as Correspondence address
Permanent Address
Address Line1*
Address Line2
City / District* Zip* State: Country:
Mobile/SMS* Email* Fax Phone(R)
Name of spouse(if applicable) Marriage Date(if applicable)
Qualification of spouse

Children Details :

Name of children age Sex Name of school

Do You have any other relative who has studied in or who is currently studing at MCKV?

Class & Batch

Education Details

Exam School/College Board City Division

If you are studying (fill in the following details)

Current Institution Current Course
Current Location Current Year/ Semester
Specialization / Major

Employment Details

Name of Company Nature of job / business Designation
Address line1
Address line2
City / District Zip Code State
Country Mobile Landline
Fax Email:

Membership in any other organization

Name Address Type of Membership

Awards/Honours/Membership Earned

Please provide us with name of at least 3 MCKV friends who you are still in touch.

1st Friend

Name1 Batch-year
Stream Contact-No

2nd Friend

Name2 Batch-year
Stream Contact-No

3rd Friend

Name3 Batch-year
Stream Contact-No

Are you intrested in becoming involved with any of the following ?

Assisting the organization of alumni events in the school Yes No
Assisting current or future students with career choices Yes No
Servicing on the Alumni Association executive Committe Yes No

Special Interest areas you would like to be involved in

Sport Cultural programme Social work Others

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