Registration for One Day Alumni Event


Date: 14th December 2019, 3 pm onwards
(Registration is compulsory. Last date for registration is 15th Nov 2019)

Name  
Gender       
Date of Birth  
Mobile/Phone  
Email  
Address  
City  
State  
Country  
Period affiliated to BJWHC  
Dept./Unit  
Degree  
Branch  

Registration Fee for event:
Rs. 3500