Midnapore College Alumni Association (Govt. Registered, Reg No: 5/1L/86051 of 2011-12) Midnapore College (Autonomous), Midnapore-721101, West Bengal, India Contact: (+91) 9434118600; (+91) 9433781819 e-mail: mcaa.wb@gmail.com follow us at : https://www.facebook.com/midnaporecollegealumni Personal InformationHi, Please enter correct information as it will be displayed in the Web-App.Full Name *Date Of Birth *Gender *Please Select Your GenderMALEFEMALEOtherPrefer Not To DiscloseAddress For Communication *Upload Photo *Choose FileNo file chosenDelete uploaded fileAffix a color Passport size Photograph (JPG/JPEG/PNG)Contact DetailsPlease enter correct contact details, We might use these details for further communicationEmail Address *Primary Phone *Secondary PhoneAny Web/Blog/SocialProfessional DetailsEnter Professional DetailsStudentship DetailsPeriod of Studentship (Years) *Degree(s) obtained *HSBABScMAMScStream/Subject *Extra-curricular Activities (if any)Digital SignatureConsent *I hereby declare that the information provided is true and correct. I also understand that any willful dishonesty may be the reason for refusal of this application. Your IP is being monitored for security reason User IP : 103.144.193.176Date of Submission : 02/08/2025Submit Details
