Indian Maritime University Alumni Association(IMUAA)
Registration Form

Academic Details at IMU
Course Undertaken
Campus:
Institution
Period of Study at IMU
From:
To:
Date: Signature:
Personal Details
Name
Title
Date of Birth
Gender
Present Position (give details)
Affix your Photograph here
Contact Details
Present Address
Permanent Address
Present Landline
Present Mobile
Present Mail id
Any other information:
Send your completed application form to imualumni [at] imu [dot] co [dot] in or mail it to Mrs Lekha Ravi, Alumni
Coordinator ,Indian Maritime University HQ, Uthandi, East Coast Road Chennai- 600119 Phone No. (91)
(044) 24530340/ 43/44/45