A. Alumni Identification

Name In Bangla
Name In English

Degree obtained from MCJ Dept. of DU

Diploma Year
BA / BSS (Hons) Year
MA / MSS Year
PhD Year

Degree from other University (If any)

Name Of Degree
Name Of University

B. Address Profile

1. Designation
2. Organization
3. Contact Address
4. Phone
5. Cell
6. E-mail
Residence Address
Permanent Address
Mailing Address (Please Tick)

C. Personal Data

Date of Birth
Blood Group
Marital Status
If married, Name of Spouse

D. Membership Category

E.Attach File

Recent Photograph