Life Membership Application Form for Graduating Students

To
The Secretary,
Alumni Association, IIT Kanpur

I request you to kindly admit me as a LIFE MEMBER of the Alumni Association and issue the membership card.

The fields marked with a star (*) are mandatory.

Initial Information:


Social Media Links:


Future Plans:


Photo Upload / Link of the Photo:


Kindly upload passport size photo for IITK Alumni Association Card

Allowed files: (jpg, png, jpeg), Max upload size (1 Mb)