Online Registration

Welcome to Alumni Meet on 15th January 2012

Name

Age & DOB

Year of passing from TDB College

Present Company/Institution

Designation/Degree

Present Address & Permanent Address

Conatct No

Email ID

Married/Unmarried

If married, please mention the number of family members willing to attend

If you/your family members want to participate in the cultural programme

Food: Veg/Non- Veg

Any Suggestions

If you want to participate in the Magazine, Yes or No

-: Registration Charges:-

Employed: - Unlimited

Research Scholar:-Rs. 1000/- (Min)

M.Tech Student: Rs: 500/- (Min)

M.Sc & B.Sc Student: Rs: 100/- (Min)

All A/C Payee Demand Drafts should be drawn in favour of “M/S ALUMNI ASSOCIATION” (Syndicate Bank, T.D.B. College,Raniganj Branch, SB A/C NO: 97022200040718)” payable at Raniganj.

The Draft along with Registration form (Registration form can also be send through E- mail ID: tdbcgeologyalumni@gmail.com)should be send on the following address:-

PRAKASH PANIGRAHI

C/O: RAMAKANTA PANIGRAHI

TDB COLLEGE CAMPUS, RANIGANJ

QUARTER NO: P/43

DISTRICT: BURDWAN

PIN: - 713347

Students can also pay the amount through Net- Banking (if possible, after transaction please inform by giving an information mail to Prakash Panigahi to

prakash.panigrahi110@gmail.com )

Please quote :-

IFSC Code: SYNB0009702