Seeks to reach, serve and engage all its alumni to foster a lifelong intellectual and emotional connection between the Alma Mater and its graduates. /

Registration Form For Alumni Day 2015

I wish to attend the Alumni Day Event to be held on December 27, 2015 at the IIEST, Shibpur Campus with/without my family.I am also enclosing payments for registrationby SBI online /cheque /cash /wire transfer**of amount ______.

Full Name:
GAABESU Life Membership Number:
Not required if you have provided your GAABESU Life Membership Number / First DegreeReceived at BEC/BESU/IIEST
Year of Degree Obtained and Department
Contact Number (with country & area code)
Email ID
Are you a GAABESU member (Yes/No)

Amount Payable (Select your Table. Fill up applicable options and calculate the sum):

Registered under the West Bengal Societies Registration Act, 1961. S/IL/29880 of 2005-2006.

Phone/Fax:+91-33-2668-7436 /4564; Web: Email: ; Facebook: facebook.com/gaabesu

GAABESU, University Guest House, Indian Institute of Engineering Science and Technology, Shibpur, Howrah, WB, India 711 103


Seeks to reach, serve and engage all its alumni to foster a lifelong intellectual and emotional connection between the Alma Mater and its graduates. /

Registration Form For Alumni Day 2015

For GAABESU Life Members:
Registered Alumni^^ / 500/-
Friends / Relatives (above 10 years) / 500/- per head
TOTAL (Minimum 500/-)##
For All OtherAlumni:
Registered Alumni^^ / 1,000/-
Friends / Relatives (above 10 years) / 500/- per head
TOTAL (Minimum 1,000/-)##

Registered under the West Bengal Societies Registration Act, 1961. S/IL/29880 of 2005-2006.

Phone/Fax:+91-33-2668-7436 /4564; Web: Email: ; Facebook: facebook.com/gaabesu

GAABESU, University Guest House, Indian Institute of Engineering Science and Technology, Shibpur, Howrah, WB, India 711 103


Seeks to reach, serve and engage all its alumni to foster a lifelong intellectual and emotional connection between the Alma Mater and its graduates. /

Registration Form For Alumni Day 2015

Comments, if any:
(Signature in case of Printed Copy) ++

**Registration fee is optional for 1965 batch and prior batches. Preferred mode of payment is through GAABESU online payment system of State Bank India Collect. However, payments can be made by cheque/draft/cash.

^^In case there are more than one alumni in a family, it is recommended each alumni register as separately.

##GAABESU appreciates your generous contribution beyond the minimum amount for meeting general expenses

++No physical signature is required for online application. Fill up the form, save on your name, and email to GAABESU office.

Registered under the West Bengal Societies Registration Act, 1961. S/IL/29880 of 2005-2006.

Phone/Fax:+91-33-2668-7436 /4564; Web: Email: ; Facebook: facebook.com/gaabesu

GAABESU, University Guest House, Indian Institute of Engineering Science and Technology, Shibpur, Howrah, WB, India 711 103