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Shrirang Shiksahn Mahavidyalaya, Bilimora
OSA- Old Student Association
Alumni Registration Form
Dear Alumnus, please take a few moments to fill out this form. Your response helps us maintain our rich six decades legacy and keep you connected with your Alma Mater.
Section 1: Personal Information
Full Name (As per University Degree):
Gender: ( ) Male ( ) Female ( ) Other
Date of Birth (DD/MM/YYYY): ____/____/________
Current Address for Communication: __________________________________________________________________ City:____________ State: ____________ Pin Code: _________
Permanent Address: Same as above ( ) __________________________________________________________________
Section 2: Academic Profile (At Our College)
Course Pursued: ( ) B.Ed. ( ) M.Ed. ( ) Other: ___________
Batch / Years of Study: From Year: _______ To Year: _______
Roll Number / University Enrollment No. (Optional): _______________
Pedagogy / Methods of Teaching (Select Two):
Method 1: ( ) English ( )Gujarati ( ) Hindi ( ) Sanskrit
( ) Social Science ( ) Economics ( ) Mathematics ( ) Science
Method 2: ( ) English ( )Gujarati ( ) Hindi ( ) Sanskrit
( ) Social Science ( ) Economics ( ) Mathematics ( ) Science
Final Academic Performance:
CGPA / Percentage Obtained: ____________
Institutional Rank (If any): ( ) 1st Rank ( ) 2nd Rank ( ) 3rd Rank
( ) Subject Topper
( ) any other ____________
Section 3: Higher Qualifications & Competitive Exams
Recent Academic Degree __________
Competitive Exams Cleared (Tick all that apply):
[ ] TAT (Secondary)
[ ] TAT (Higher Secondary)
[ ] TET-I
[ ] TET-II
[ ] CTET
[ ] NET
[ ] SLET
[ ] GPSC
[ ] Other Exams ____________
Section 4: Current Professional Status & Employment Details
Current Occupation Status:
( ) Employed
( ) Self-Employed/Running Own Institute
( ) Pursuing Higher Studies Full-Time
( ) Seeking Opportunities
Designation / Role:
( ) Principal
( ) Supervisor
( ) Secondary School Teacher (TGT)
( ) Higher Secondary Teacher (PGT)
( ) Primary Teacher (PRT)
( ) Assistant Professor
( ) Other: [___________]
Name of the Present School / Institution / Organization: [___________________________________]
Type of Institution: ( ) Government ( ) Grant-in-Aid ( ) Self-Financed / Private
Working Since (Month & Year): [_____________________]
Location of the Institution: City: [____________] State: [____________]
Section 5: Contact Details & Social Media Network
Mobile / Whats App Number: [_______________________]
Alternative Contact Number: [_______________________]
Email Address: [___________________________________]
LinkedIn Profile URL (Optional): [___________________________________]
Section 6: Achievements & Institutional Legacy
Notable Professional / Academic Achievements: (Awards received, research papers published, books written, or special recognition in your teaching career) [__________________________________________________________________] [__________________________________________________________________]
Your Fondest Memory of the College / Feedback: [__________________________________________________________________] [__________________________________________________________________]
Section 7: Giving Back to the Alma Mater (Alumni Engagement)
How would you like to contribute to the current trainees? (Tick all that apply):
[ ] Deliver a Motivational Talk / Guest Lecture
[ ] Conduct a Workshop on Modern Teaching Methods / TLM
[ ] Provide Placement Guidance / Mock Interviews
[ ] Help in securing School Internship
[ ] Contribute to College Fund Raising / Endowment Activities
Declaration:
[ ] I hereby declare that the information provided above is true to the best of my knowledge, and I give consent to the college to use this data for OSA and NAAC/NCTE official record purposes.
SUBMIT REGISTRATION