ALUMNI REGISTRATION FORM FOR NETWORKING
CHOITHRAM COLLEGE OF NURSING
Connecting and Building a Stronger Alumni Network

Personal Details

Full Name:
Date of Birth:
Gender:
Contact Number:
Email Address:
Current Address:
Permanent Address:

Educational Details

Program/Degree Completed:
Specialization (For M.Sc. Students):
Batch (Year):
Awards/Honors Received (if any):

Professional Details

Current Occupation:
Organization Name:
Designation/Position:
Work Sector/Industry:
Years of Experience:
LinkedIn Profile:
Other Professional Networks (if any):

Interest in Alumni Engagement

Are you willing to mentor current students?
Are you interested in guest lectures or webinars?
Would you like to participate in alumni events?
Do you want to collaborate on projects or research?
Do you want to be in Institutional Committees?
Would you like to donate books?

Feedback/Recommendations