Congratulations!    You are about to enter the Alumni Forum of Rohtakites. Fill out as much information as you can, b'coz you never know ...... when is the next get-together of your batch planned.

The only required fields ( * ) are your Name, Year of Joining PGIMS, Degree and (a Password to update your info anytime later on).

* First Name:		Middle Name:
* Last Name:		* Yr Joined PGIMS (4 digits):
* Degree (from Rohtak):	BDS/MDS MBBS MBBS+MD/MS/Dip MD/MS/Dip only MBBS+Faculty MBBS+PG+Faculty MD/MS/Dip+Faculty Joined as Faculty	Roll no (initial digits, not yr):
Current position:
Work Place:
Address:
City:		State/Province:
Country:		Postal code:
Tel. - Home:		Tel. - Work:
Email:		Home page:
Spouse:
Children:
Photo:	Please send it separately. Instructions on the Rohtakites page (p.s.)
Achievements/ Comments:
User Name: (automatically assigned)	user name will be: YrJoinedFirstName ..... e.g. 1961Sanjay	* Password:
	You will need this info, if you wish to update your info anytime later on.
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