S.No Particulars Details
1 Name Mr./ Ms./ Dr.
2 Date of Birth  
3 Educational Qualification  
4 Office Address & Phone.No/ Mobile No./ e-mail  
5 Residential Address & Phone No.  
6 Period of Study From       To
7 Course and Subject Studied  
8 Distinction / Award got  
9 Suggest one proposal to add to the improvement of the College  
10 Any other relevant information  

Secretary                                                 Principal                                                 Signature