Alumni Data Collection Form Alumni Data Collection - 2021 Online Application Form for Alumni Data Collection Registration IDTerms of Service*I solemnly affirm that: The informations given in this Application form are true to the best of my knowledge & belief and if found incorrect, I shall be responsible for the same. I agree to the Terms of Service Student’s Name (As per 10th Marksheet)* Full Name Gender: (M/F/TransGender)*MaleFemaleTransGenderMOBILE NUMBER*Enter Mobile Number with out prefixing zeroEMAIL ID* Program/ Course of study (as mentioned in final year mark sheets/Grade Cards)Enrollment No.*Please do not prefix "SRHU" at the start, if your Enrollment Number is SRHU38383838, Please enter "38383838" only .Registration No.*Please do not prefix "DD" at the start, if your Enrollment Number is DD38383838, Please enter "38383838" only .Select Academic Unit*Select Academic UnitHIMSHCNHSSTHSMSPh.DSelect Programme / Specialization*Select Programme / SpecializationD. Ortho.D.G.O.D.C.H.MD - PsychiatryM.B.B.S.B.Sc in Yogic Sciences & Holistic HealthM.Sc. BiochemistryM.Sc. EpidemiologyM.Sc. BiotechnologyM.Sc. MicrobiologyM.Sc. Clinical ResearchB.Sc. (H) BiotechnologyB.Sc. (H) MicrobiologyMaster of Hospital Administration (MHA)Masters of PhysiotherapyBachelor of PhysiotherapyBachelor in Audiology & Speech Language Pathology (BASLP)Bachelor of Optometry (B.Optom.)B.Sc. Medical Technology (Operation Theatre)B.Sc. Medical Technology (Radiotherapy)B.Sc. Medical Technology (Radiography & Imaging)B.Sc. Medical Technology (Laboratory)Diploma in Dialysis Technology (DDT)Fellowship Programme in Surgical OncologyFellowship Programme in Medical OncologyFellowship Programme in Critical Care MedicineFellowship Programme in NeonatologyM.Ch. - Surgical OncologyM.Ch. - Neuro SurgeryDM NeurologyMS - E.N.T.MS - OrthopedicsMS - OphthalmologyMS - Obst. & Gynae.MS - General SurgeryMD - Radiation OncologyMD - TB & Respiratory Medicine / Pulmonary MedicineMD - AnaesthesiologyMD - Radio-diagnosisMD - Dermatology, Venereology & Leprosy (DVL)MD - PaediatricsMD - General MedicineMD - Community MedicineMD - PharmacologyMD - MicrobiologyMD - PathologyMD - BiochemistryMD - PhysiologyMD - AnatomySelect Programme / Specialization*Select Programme / SpecializationNurse Practitioner in Critical CareM.Sc Mental Health NursingM.Sc Obstetrics & Gynecology NursingM.Sc Child Health NursingM.Sc Community Health NusringM.Sc Medical Surgical NursingBasic B.Sc NursingPost Basic B.Sc NursingGNMSelect Programme / Specialization*Select Programme / SpecializationB.Tech Computer Science EngineeringMaster of Computer ApplicationsBachelor of Computer ApplicationsSelect Programme / Specialization*Select Programme / SpecializationMaster of Business AdministrationB.Voc (Culinary Management)B.Voc (Hospitality & Catering Management)Bachelor of Business AdministrationB.Com HonoursSelect Programme / Specialization*Select Programme / SpecializationEpidemiologyManagementOncological SciencesPhysiologyNursing SciencesHospital AdministrationMedical PhysicsImmunologyPharmacologyBrain & Mind SciencesBiochemistryMicrobiologyBiotechnologyPassing Year*Select Year of Passing2016-172017-182018-192019-20 Qualified Examination DetailA.1- After completing your studies at SRHU, did you appear in any competition/entrance exam for higher degree?*NETSLETGATEGMATGPATCATGRETOEFLPLABUSMLEAYUSHCivil ServicesDefenseUPSCState Government ExaminationsPG-NEETAIIMSPGETJIPMER Entrance TestPGIMER Entrance TestOthersNot ApplicableIf Other, Mention Your Exam Information*If Qualified, Provide Roll No. of Exam*Attach passing certificate/document e.g. like score card*Accepted file types: jpg, gif, png, pdf.A.2- Did you appear in any competitive exam after your studies at SRHU for employment purpose?*UPSCDefenceAny OthersNot ApplicableIf Other, Mention Your Exam Information*If Qualified, Provide Roll No. of Exam*Attach passing certificate/document e.g. like score card*Accepted file types: jpg, gif, png, pdf.Employment DetailsB. Nature of Employment*Select nature of employmentEmployed in an OrganizationSelf EmployedStudyingAny Other1: Mention Employer DetailName of EmployerContact DetailEmail IDAttach relevant document(like ID Card)Accepted file types: jpg, gif, png, pdf.2: Mention Self Employment DetailSelf Employment detailContact detailAttach document like registration no. of firm or any other detailsAccepted file types: jpg, gif, png, pdf.Progression to Higher EducationC: If progression to higher education.Name of Institution joinedName of programme admitted to*Applicable only for 2019-20 pass out students. Attach document like admission letter/program Id card/any other supporting document.Accepted file types: jpg, gif, png, pdf. PREVIEW Please check your filled details and for any error click previous to correct it. {all_fields}EmailThis field is for validation purposes and should be left unchanged.