The Official Website for Lady Shri Ram College Alumni Association

First Name:*

Last Name:*

Maiden Name:*

(As college records)

Year of Graduation:*

Course:*

Post Graduation Year:

PG Course:

Date of Birth:*

Day Month Year

Permanent Address:

Address 1:*

Address 2:

Address 3:

City:*

Pin Code:*

Country:*

Current Residence:

Address:*

City:*

Country:*

Prefered Address for Communication:*

Phone Nos:

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Mobile number:*

Country Code

Landline No.:

Country Code City Code

Landline No. 2:

Country Code City Code

Email address:*

(Your primary email address should preferrably be your personal and permanent one and not your work email )

Alternate email address:

Nationality:*

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Industry:*

Designation:

Company / Organization :

Company City :

Company Country :

Facebook ID :

Twitter ID :

LinkedIn ID :

Brief Profile :

(50 words only)

Choose your Membership Option :

Select	Membership	Amount
	Life Member (India)	INR 5, 000
	Overseas alumni (PIO/OCI)	INR 5000 (through NRO account only)
	Fresh Graduate - (3 years) (2022-25), (2023-26), (2024-27)	Free (INR 500 Processing fee)

Select Mode of Payment :

(The Membership fee can be paid Online through Debit Card, Credit Card and UPI, or by Bank Transfer)

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