Alumni UIOP

This registration for should be filled by only those candidates who has completed their degree at University Institute of Pharmacy(UIOP), Raipur.
Only one registration per alumni is allowed. If the alumni has done more than one degree form the institute then he/she has to mention the last degree.
You need one Profile Photo of dimension [Width:200px]X[Height:250px],[Size < 100KB] and one Family Group Photo of dimension [Width:1140px]X[Height:445px], [Size < 500KB]. Both images should be JPG/JPEG file format.
DISCLAIMER: Any affensive added by you on this portal will be your own responsibility. Institute/University will not entertain any such issue if arieses.

Email ID :

Name :

Please don't write Dr./Mr./Mrs./Miss/Ms. before your name.

Address :

Mobile :

Whats-App No. :

Facebook ID / Page :

Website :

Qualification :

Year of Passing :

Other Qualification (if any) :

Working As :

Work Place :

Hobbies :

Spouse

Spouse Name :

Spouse Working As :

Spouse Work Place :

Childrens Detail (Leave the fields blank if not applicable.)

1st Child

2nd Child

3rd Child

4th Child

Upload Your Profile and Family Photo

Please select the photos of specified dimention for best view.

Your Profile Photo (width=200px, height=250px) & (Size <= 100KB) :

Your Family Photo (width=1140px, height=445px) & (Size <= 500KB):

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University Institute of Pharmacy, Pt. Ravishankar Shukla University, Amanaka G.E. Road, Raipur (Chhattisgarh), India - 492010
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