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Personal Details
Name :
Date of birth :
Present Address :
Permanent Address :
Email Address :
Phone No :
Mobile No :
Year of Graduation
Name of the Degree(s)
Awarded by AIHMAS :
Details of Higher education :
Job Details    
Designation :
Current Place of Employment
(With full Address and Phone No)
I hereby accept to save the above mentioned details in the AIHMAS Alumni.
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