Registration for Alumni Meet 2025

Name

Father's Name

Batch/Year

NCISM/State Registration Number

Phone No

E-mail Address

Address

Current City

State

Current Occupation

Clinic/Hospital/Institute Name

Clinic/Hospital/Institute Address

Clinic/Hospital/Institute City

Clinic/Hospital/Institute State

Achievements

Will You Attend Alumni Meet (04 Oct 2025)?

No. of Guests Accompanying You

Would you like to give material for Souvenir (Ayurveda Magazine)?

Would you like to give any Advertisement in Souvenir/Alumni meet?

Any Suggestion to make alumni meet more engaging

Upload Your Photo (JPG/PNG, Max 512KB)