IIT BOMBAY CLASS OF 1964 REUNION

IIT Bombay Heritage Fund (http://www.iitbombay.org)

IITB 1964 batch Reunion Registration Form

IIT Information

Fields marked with * are required inputs.

Please login at the IITBombay.org site (if already a member) to prefill some of the fields in the form below.

* Year of Graduation
* Hostel
* Department

Contact Information

Title

* First Name

* Last Name

Middle Initial/Name

Gender

* Street Address

* City

* State

* ZIP/Postal Code

* Country

* Home Phone No.

Mobile No.

* E-mail Address

Work Phone No.

* Food Preference

T-Shirt Size

Family Members and Guests


Name	Gender	Meal Preference	Child Member	Age	T-Shirt Size
Note : Check the Child Member box if Child is below 18 years.






Attendees

Suggestions for Reunion 1964 activities characters left

How many persons would take Bus transport from the Guest House on the campus to Dahanukar's House for dinner on the 11th and back?

How many persons would take RSVP for dinner with Dahanukar on Sunday 11th evening?

Hotel Information

Check this box if you are planning to stay at a hotel during the event :

Note : That the registration fees does not include lodging, and it is handled separately. We are offering a courtesy request forwarding service.

Arrival Date Departure Date

Hotel Preference 1

Hotel Preference 2

Hotel Preference 3

I have checked the above information and wish to confirm my registration.

Please click the "Submit Information" button just once.

IIT Bombay Heritage Fund (http://www.iitbombay.org)

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