Biodata
Full Name of Batch mate .......................................................................... ...................................................
College Roll No. ...................
Qualification ................... .....Speciality / Personal Assignment ................... ...................................................
Date of Birth ................... .............Achievements ....................................................................... ....................
Address : Clinic ................... ......................................................................................................................
Resident ............................................................... .....................................................................
Contact Telephone Numbers:
E mail address :
Spouse ................... Qualification ................... Speciality / Personal assignment / Achievement ..........................
Date of Birth ..............................
Children with Age / Date of Birth ................... ................... ............................................................................
Studying in class ................... .........................................................................................................................
Achievements ................................................................................................................................................
Whether willing to participate in cultural programme Yes / No. Mention Details if Yes ................... ...................
Food :Veg / Non-veg.
Suggestions ................... ................................... ................................... ..........................................................
Please send completed Biodata with cheque / DD for Rs 5000 in favour of ' Silver Jubilee 77, G.M.C. Nagpur" payable at Nagpur & Family Photograph to Dr. Krishna Parate Organizing Secretary, 18 Hindustan Colony, Opp. Sai Mandir Wardha Rd. NAGPUR 440015. Phone 232118
e-mail : kmparate@nagpur.dot.net.in.