Alumni Form

BABU BANARSI DAS INSTITUTE OF TECHNOLOGY
(Approved by AICTE, Govt. ofIndia, Govt. of U.P. Affilliated to U.P. Technical Univ. Lucknow)
7th KM. MileStone,From Ghaziabad on (N.H.-58) Delhi-MeerutRoad, Duhai, Ghaziabad-201206 (U.P.)
Phone : (0120) 2675912, 2679018, 2679019 Telefax : (0120) 2575912 * e-mail : bbitgzb35@yahoo.com
DOCUMENTS REQUIRED
1.
Profile in the format given 2 copies, one hand written and one typed.
2.
Alumni association Membership Form in the format given 2 copies same as

above.
3.
Two recent photographs to be pasted on both copies of profile form.
4.
Alumni Feed back form (Format Enclosed)
5.
Parent Feed back form (Format Enclosed)
6.
Employer Feed back form (Format Enclosed)
7.
Photocopy of appointment letter of first and Current employment.
8.
If undergoing higher studies, photocopy of admission letter from the Institute

Joined.
9.
Photocopies of the admit card / results / Score cards etc. of competitive exams or
tests you have participated in.

PROFILE OF EX-STUDENTS
For Official Use
Entry No. : ____________
Alumni No. :________________
Date
Please Paste
:_________________
Recent
Note : 1.
All columns are to be filled.
Coloured
2. Provide two coloured photographs. Paste one in the place holder.

YEAR OF PASSING
ROLL No.
YEAR OF ENTRY
Name
Photograph
BRANCH : _______________________
___________________________________________
Fathers Name
___________________________________________
Permanent Address
_________________________________________________________________________________________
___________________________________________________________________________________
______
Fathers Contact Information STD Code
___________
Ph. No.
_____________
Mobile No.
Email ID
______________________
______________________________
Your Present Address
_________________________________________________________________________________________
___________________________________________________________________________________
______
Your Contact Information
STD Code
___________
Ph. No.
_____________
Mobile No.
Email ID
______________________
______________________________
Post BBDIT Achievement : (Please provide proof in form of copies of results / score cards)
Examination
Score
Percentile
Result
Toeffel
GRE
GATE
MAT
CAT
Any Other

Any other Awards / Publications / Achievements.
________________________________________________________________________________________________________________
_________
________________________________________________________________________________________________________________
_________
________________________________________________________________________________________________________________
_________
Contd. 2
PROFESSIONAL DETAILS
-: 2 :PROFILE OF EX-STUDENTS
First Occupation
: Self Employed / Employed /Higher Studies.
Name of the Firm / Institution
: ________________________________
Product / Course undertaken
: ________________________________
Designation
: ________________________________
Firms / Institutions Address
: ___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
Ph no.s
: STD CODE(_________) No. (___________________________)
Email ID
:_________________________________
Name of M.D / Head
: _________________________________
Remuneration
: Rs._______________ (PM / PA)
Current Occupation
: ________________________________
: ________________________________
Designation
: ________________________________
: ___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
Ph no.s
: STD CODE(_________) No. (___________________________)
Email ID
:_________________________________
Name of M.D / Head
: _________________________________

Remuneration
: Rs._______________ (PM / PA)
Contd. 3
Marital Status : Married / Single
DETAILS OF SPOUSE ( If Married)
Name
Name of Company ( If Employed)
Address
_________________________________________
_________________________________________
_________________________________________
_________________________________________
Designation
Any other Information You would like to give :

________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
______________________________________________________
Signature :
Name

--:--

ALUMNI ASSOCIATION
BBDIT,GHAZIABAD
MEMBERSHIP FORM
For Official Use
Entry No. : ____________
:_________________
Alumni No. :________________
Date
Date:_______________
The Secretary,
Alumni Association
Babu Banarsi Das Institute of Technology,
Ghaziabad.
Sub:- Request to Enroll me as a member of Alumni
Dear Sir/Madam
I understand that the Alumni Association of BBDIT, Ghaziabad is working very effectively and providing a
vibrant forum to promote interaction & networking among the Alumni of the Institute. It helps in exchange of
information.
It also helps the alumni to achieve their professional goals by knowing employment avenues and by getting
technical support.
Kindly enroll me as a member of the Alumni Association.
a.
b.
c.
I am remitting Rs. 1000/- by Cheque/Cash membership fees.

I give my consent to deduct Rs. 1000 /- as membership fees from my security money deposited at the
time of admission.
The membership fee has already been deposited. (Kindly attach copy of challan / Receipt as proof)
(Please tick one as the case may be)
Kindly register my name in your records. My address, Telephone number and email address is given below.
Thanking you
Yours faithfully
Signatures
Name: Mr./Ms/Mrs.
Passing out year
:
Address
Branch :
Roll No. :
______________________________________________________________________
______________________________________________________________________
E-mail id
Land line number(Res)

Employed with
Name of the Organization
Address
___________________
Mobile No. : _____________________
STD Code (___________) No. (___________________)
_________________________________
Designation : __________________
_______________________________________________________________________

_______________________________________________________________________
Phone No.
: __________________
Email Address : ____________________

-- : --

PROFILE OF EX-STUDENTS
For Official Use
Entry No. : ____________
Alumni No. :________________
Date
Please Paste
:_________________
Recent
Note : 1.
All columns are to be filled.
Coloured
2. Provide two coloured photographs. Paste one in the place holder.

YEAR OF PASSING
ROLL No.
YEAR OF ENTRY
Name
Photograph
BRANCH : _______________________
___________________________________________
Fathers Name
___________________________________________
Permanent Address
_________________________________________________________________________________________
___________________________________________________________________________________
______
Fathers Contact Information STD Code
___________
Ph. No.
_____________
Mobile No.
Email ID
______________________
______________________________
Your Present Address
_________________________________________________________________________________________
___________________________________________________________________________________
______
Your Contact Information
STD Code
___________
Ph. No.
_____________
Mobile No.
Email ID
______________________
______________________________
Post BBDIT Achievement : (Please provide proof in form of copies of results / score cards)
Examination
Score
Percentile
Result
Toeffel
GRE
GATE
MAT
CAT
Any Other

Any other Awards / Publications / Achievements.
________________________________________________________________________________________________________________
_________
________________________________________________________________________________________________________________
_________
________________________________________________________________________________________________________________
_________
Contd. 2
PROFESSIONAL DETAILS
First Occupation
: ________________________________
: ________________________________
Designation
: ________________________________
: ___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
Ph no.s
: STD CODE(_________) No. (___________________________)
Email ID
:_________________________________
Name of M.D / Head
: _________________________________
Remuneration
: Rs._______________ (PM / PA)
Current Occupation
: ________________________________
: ________________________________
Designation
: ________________________________
: ___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
Ph no.s
: STD CODE(_________) No. (___________________________)
Email ID
:_________________________________
Name of M.D / Head
: _________________________________

Remuneration
: Rs._______________ (PM / PA)
Contd. 3
Marital Status : Married / Single
DETAILS OF SPOUSE ( If Married)
Name
Name of Company ( If Employed)
Address
_________________________________________
_________________________________________
_________________________________________
_________________________________________
Designation
Any other Information You would like to give :

________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
______________________________________________________
Signature :
Name

--:--

ALUMNI ASSOCIATION
BBDIT,GHAZIABAD
MEMBERSHIP FORM
For Official Use
Entry No. : ____________
:_________________
Alumni No. :________________
Date
Date:_______________
The Secretary,
Alumni Association
Babu Banarsi Das Institute of Technology,
Ghaziabad.
Sub:- Request to Enroll me as a member of Alumni
Dear Sir/Madam
I understand that the Alumni Association of BBDIT, Ghaziabad is working very effectively and providing a
vibrant forum to promote interaction & networking among the Alumni of the Institute. It helps in exchange of
information.
It also helps the alumni to achieve their professional goals by knowing employment avenues and by getting
technical support.
Kindly enroll me as a member of the Alumni Association.
a.
b.
c.
I am remitting Rs. 1000/- by Cheque/Cash membership fees.

I give my consent to deduct Rs. 1000 /- as membership fees from my security money deposited at the
time of admission.
The membership fee has already been deposited. (Kindly attach copy of challan / Receipt as proof)
(Please tick one as the case may be)
Kindly register my name in your records. My address, Telephone number and email address is given below.
Thanking you
Yours faithfully
Signatures
Name: Mr./Ms/Mrs.
Passing out year
:
Address
Branch :
Roll No. :
______________________________________________________________________
______________________________________________________________________
E-mail id
Land line number(Res)

Employed with
Name of the Organization
Address
___________________
Mobile No. : _____________________
STD Code (___________) No. (___________________)
_________________________________
Designation : __________________
_______________________________________________________________________

_______________________________________________________________________
Phone No.
: __________________
Email Address : ____________________

-- : --

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BABU BANARSI DAS INSTITUTE OF TECHNOLOGY

Alumni association Membership Form in the format given 2 copies same as

Two recent photographs to be pasted on both copies of profile form.

Alumni Feed back form (Format Enclosed)

Parent Feed back form (Format Enclosed)

Employer Feed back form (Format Enclosed)

Photocopy of appointment letter of first and Current employment.

If undergoing higher studies, photocopy of admission letter from the Institute

BABU BANARSI DAS INSTITUTE OF TECHNOLOGY

Alumni No. :________________

All columns are to be filled.

2. Provide two coloured photographs. Paste one in the place holder.

BABU BANARSI DAS INSTITUTE OF TECHNOLOGY

: Self Employed / Employed /Higher Studies.

Name of the Firm / Institution

Product / Course undertaken

Firms / Institutions Address

: STD CODE(_________) No. (___________________________)

Name of M.D / Head

: Rs._______________ (PM / PA)

: Self Employed / Employed /Higher Studies.

Name of the Firm / Institution

Product / Course undertaken

Firms / Institutions Address

: STD CODE(_________) No. (___________________________)

Name of M.D / Head

BABU BANARSI DAS INSTITUTE OF TECHNOLOGY

: Rs._______________ (PM / PA)

Name of Company ( If Employed)

Any other Information You would like to give :

BABU BANARSI DAS INSTITUTE OF TECHNOLOGY

BABU BANARSI DAS INSTITUTE OF TECHNOLOGY

Alumni No. :________________

I am remitting Rs. 1000/- by Cheque/Cash membership fees.

Land line number(Res)

Mobile No. : _____________________

STD Code (___________) No. (___________________)

BABU BANARSI DAS INSTITUTE OF TECHNOLOGY

Email Address : ____________________

BABU BANARSI DAS INSTITUTE OF TECHNOLOGY

Alumni No. :________________

All columns are to be filled.

2. Provide two coloured photographs. Paste one in the place holder.

BABU BANARSI DAS INSTITUTE OF TECHNOLOGY

: Self Employed / Employed /Higher Studies.

Name of the Firm / Institution

Product / Course undertaken

Firms / Institutions Address

: STD CODE(_________) No. (___________________________)

Name of M.D / Head

: Rs._______________ (PM / PA)

: Self Employed / Employed /Higher Studies.

Name of the Firm / Institution

Product / Course undertaken

Firms / Institutions Address

: STD CODE(_________) No. (___________________________)

Name of M.D / Head

BABU BANARSI DAS INSTITUTE OF TECHNOLOGY

: Rs._______________ (PM / PA)

Name of Company ( If Employed)

Any other Information You would like to give :

BABU BANARSI DAS INSTITUTE OF TECHNOLOGY

BABU BANARSI DAS INSTITUTE OF TECHNOLOGY

: STD CODE(_) No. (___________________)

: STD CODE(_) No. (___________________)

STD Code (_) No. (_________)

: STD CODE(_) No. (___________________)

: STD CODE(_) No. (___________________)

STD Code (_) No. (_________)