Maa Markama +3 College, BisamaCuttack, Rayagada ALUMNI REGISTRATION FORM * indicates required fields Personal Details Name * : Date of birth * : Gender * : Select One Male Female Residence address * : City * : State * : Mobile * : Email : ALUMNI DETAILS Course Name * Select One +3 Arts +3 Science Joined College in Year * : Select One 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 Passed Out/ Left In Year * : Select One 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 Present Occupation * Select One Govt.Service Private Service Self Employed Business Owner House wife
