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Registration Form Fields marked * are mandatory General: Name: * Preferred mail id for correspondence: * Alternate Email Id: Password: * Confirm Password: * Father's Name: * Date of Birth: Select... 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Select January Febrauary March April May June July August September October November December Select 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 * Address for Correspondence: Line1 * Line2 * Line3: City: * State: * Country: * Postal Code: * Permanent Address: Line1 * Line2 * Line3: City: * State: * Country: * Postal Code: * Contact Numbers: (Atleast One)* Phone(Home): -- Phone(Work): -- Cell: - Academic:* Study details at Sai Educational Institutions: Level Course Campus From To Secondary VIII - X SSSHSS-PSN Select 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 Select 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 Higher Secondary XI - XII SSSHSS-PSN Select 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 Select 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 Junior College PUC Select SSSIHL-PSN SSSIHL-BRN Select 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 Select 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 Graduation Select B.A.(Economics) B.A.(Political Science) B.Com. B.Sc. (PCM) B.Sc. (CBZ) B.Sc.(Maths) B.Sc.(Physics) B.Sc.(Chemistry) B.Sc.(Bio-Science) B.Sc.(Economics) Select SSSIHL-PSN SSS College-BLR Univ SSS College-SV Univ SSSIHL-BRN Select 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 Select 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 Post Graduation Select M.Sc.(Maths) M.Sc.(Physics) M.Sc.(Chemistry) M.Sc.(Bio-Science) PGDICAP M.A. M.Com. MFM MBA M.Phil. M.Tech (Physics) M.Tech (CS) Ph.D. (Maths) Ph.D. (Physics) Ph.D. (Chemistry) Ph.D. (Bio-Science) Ph.D. (Commerce) Ph.D. (Management) Ph.D. (Literature) Select SSSIHL-PSN SSSIHL-BRN Select 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 Select 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 Post Graduation Select M.Sc.(Maths) M.Sc.(Physics) M.Sc.(Chemistry) M.Sc.(Bio-Science) PGDICAP M.A. M.Com. MFM MBA M.Phil. M.Tech (Physics) M.Tech (CS) Ph.D. (Maths) Ph.D. (Physics) Ph.D. (Chemistry) Ph.D. (Bio-Science) Ph.D. (Commerce) Ph.D. (Management) Ph.D. (Literature) Select SSSIHL-PSN SSSIHL-BRN Select 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 Select 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 Post Graduation Select M.Sc.(Maths) M.Sc.(Physics) M.Sc.(Chemistry) M.Sc.(Bio-Science) PGDICAP M.A. M.Com. MFM MBA M.Phil. M.Tech (Physics) M.Tech (CS) Ph.D. (Maths) Ph.D. (Physics) Ph.D. (Chemistry) Ph.D. (Bio-Science) Ph.D. (Commerce) Ph.D. (Management) Ph.D. (Literature) Select SSSIHL-PSN SSSIHL-BRN Select 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 Select 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 During your tenure did you actively participate in any extra-curricular activities: Yes No Mandir Bhajan Singing Music Group Public Speaking Drama Sports Meet Activities Brass Band Vedam Chanting Others (if any): Further studies pursued elsewhere: Yes No If Yes, kindly specify details: Institution Course University City Country Would you like to share your skills in partnering with the SSSIHL in Alma-Alumni Initiatives? For More Details Click Here Yes No Alumni Interface with Recent Graduates: Select Resume Counselor Interview Counselor Mentor Host Alumni Interface with the Department: Select Creating Awareness of Institute and Academic Programme Class Contact Syllabi Sounder Share Academic Insights Sharing Inspiring Moral / Ethical Real Life Situations Databank of Interview Questions Assistance Developer of Resume Building Expertise Developer of Case Studies Workshop Assistance Alumni Interface with Current Students: Select Summer Project Resource Data Collection Assistance Any other: (Enter multiple values seperated by commas) Work: Occupation: Select Student Professional Self Employed * Core Competency: * Organization: * Designation: * Sector: Select Top Mgmt-NonIT Top Mgmt-IT/Telecom Accounting/Tax/Audit Advtg/Marketing/PR Agent Airlines/Travel All IT/Telecom Jobs IT-Hardware/Support IT/Telecom-Comp. Jobs Anchoring/TV/Films Architects/Int.Designer Bank/Insurance/Finance Banking Insurance Finance Retailing Call Centre/Cust Service Content/Editors/Press Corporate Planning Current Walk-ins Education/Teaching Entrepreneur/Consultant Entry Level/Freelance Export/Import Fashion/Textile Front Office/Secretarial Graphic/Web Designer Hotels/Restaurants HR/Admin/IR/Training Medical/Healthcare NGO/Govt Job/Defence Packaging Pharmaceutical/Biotech Project Mgmt/Site Engg Purchase/SCM Production/Operations R&D/Engineering Design CAD/CAM Sales Security Overseas/International Other * If Others please Specify: City: * Country: * Seva: Blood Group: Select A+ A- B+ B- O+ O- AB+ AB- * Are you a registered blood donor? Yes No Are you affiliated to any local Samithi / Sai Centre? Yes No Do you participate in any other service activity? Yes No If YES, please provide a brief activity description::

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