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P.S.

R ENGINEERING COLLEGE, SIVAKAS SEVALPATI 626 140, SIVAKASI VIRUDHUNAGAR DISTRICT ALUMNI ASSOCIATION Office : 04562 239091 , 239092 Email : psrec.alumni@psr.edu.in

REGISTRATION FORM Year of Graduation Department Name of the Alumni Contact Address : : : :

Contact No. Any other Degree (Master / Doctorate) Email Id Permanent Address

: Cell No. : : : :

Ph. No.

Employments Details ( including Designation & company name with address ) Confirmation Suggestion if any

: :

ATTEND / COULD NOT ATTEND

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