Alumni Registration :: EBENEZER International Residential School

Alumni Registration

	All Fields marked with* are must

*	Name
*	Permanent Address
*	Present Address Same as above
	Location
	Phone
	Mobile
*	Email
*	Standard
*	Passout Year
	Current Position (Give a description in less than 250 characters)
	Message
*	User Name
		* User Name has to be unique and must be less than 45 characters. * Never displayed * Used only for login and password retrieval
*	Password
*	Re-Confirm Password
		* Password must contain 5-20 characters
	Photo?
		(Recomended image size 100*120 pixels) File size should not exceed 25 KB.