Please fill out the following information in order to become a member. Your information will then be verified by a an administrator. Once verification has occurred you will receive an email confirmation.
 
We have designed a detailed form to best utilize your expertise for the association. Please do not get bogged down by the extent of details. You can fill only red * marked columns initially or as much more as you want and upload other details at your convenience later, specially details on your experience and family, photos, etc."

Please Note: All information entered below will be visible to site administrators. Registered members will be able to view any information you enter, unless you uncheck the box(es) next to the field you wish to be hidden. Note: If you uncheck the box next to "Spouse Name" your Spouse Name will not be displayed.

* Required Fields
Checked = Visible to Members   Unchecked = Hidden from Site

Account Information
	Username *	(minimum 5 characters)
	Password *	(minimum 5 characters)
	Confirm Password *	(minimum 5 characters)
Member Information
	Title	Mr Mrs Ms Dr
	Name *	First Name Middle Name Last Name
	Gender	Male Female
	Date of Birth *	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 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 1931 1932 1933 1934 1935 1936 1937 1938 1939 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 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 (dd-mm-yyyy)
	Upload Photo
Contact Information
	This information will be hidden in all circumstances and will never be displayed on the website. It will be used for administrative purposes only. ( For e.g. To send postal invitations for reunion etc. )
	Mobile *
	Phone *	Country code STD code phone
	Address *	Max 300 characters
	City *
	Country *	Afghanistan Albania Algeria Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burma Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Congo Cook Islands Costa Rica Cote d'Ivoire Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadaloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, North Korea, South Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Nevis New Caledonia New Zealand Nicaragua Niger Nigeria Northern Ireland Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Romania Russia Rwanda Saint Helena Saint Kitts Saint Lucia Saint Vincent and the Grenadines Saipan Samoa San Marino Sao Tome and Principe Saudi Arabia Scotland Senegal Seychelles Sierra Leone Singapore Slovak Republic Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka St. Bartelemy St. Eustatius St. Maarten Sudan Suriname Swaziland Sweden Switzerland Syria Tahiti Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Western Sahara Yemen Zambia Zimbabwe
	Pin Code *
	Primary Email ID *
	Yahoo Email ID
	Gmail Email ID
Relevant Information
	Batch Year *	1931 1932 1933 1934 1935 1936 1937 1938 1939 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 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 (The year you should have ideally left school. e.g., if your school is upto 12th standard and you left school in 1985 after passing out Class 10 then Batch Year will be 1987)
	Duration of stay *	Class Prep 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th to Class Prep 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th
	House	- Aravali Himadri Jayantia Nilgiri Purvanchal Satputra Shivaliks Vindhya
	Section in 10th	- A B C D E F G
	Section in 12th	- A (Science with Engg. Drawing) B (Science with Bio) C (Science with Computer) D (Commerce) E (Commerce) F (Arts and Humanities) G (Fashion Designing)
	Higher Education
	Profession
	How did you know about Website ?	Scrap Orkut School Community Yahoo Group
Personal Family Information ( Spouce & Children ) If Checked = Visible to Members
	Marital Status	Single Married Divorced Separated Widowed Live-in
	Wedding Date	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 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 1931 1932 1933 1934 1935 1936 1937 1938 1939 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 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 (dd-mm-yyyy)
	Spouse Name
	Qualification
	Present Occupation	Employed Self-Employed Home Maker
Child Name Age Gender Present Occupation Photo Male Female Male Female Male Female Male Female
Employer Information
	Name of Organisation
	Do you own this business?	No Yes
	Designation
	Working Since (Year)	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 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008
	Phone
Contribution to website
	How would you like to contribute to this website?	As a Professional Consultant in the area of specialisation In Cultural Activities Financially Through Promotions / Advertisements None Hold ctrl key and select multiple choices, if required
	Would you like to act as a batch coordinator?	Yes No Kindly select yes or no from the drop down box