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:


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

*The Soft Copy and Hard copy of your Alumni ID-card will be sent on your permanent email id and address respectively as mentioned in this form.