NCC Collegiate Club Registration
This form is valid only for college internal registration. Please fill the information correctly.
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Name of the Student *
As per Matriculation Certificate
Father's Name *
Mother's Name *
Gender *
Date of Birth *
MM
/
DD
/
YYYY
Complete Home Address *
Contact number *
Ex. 099887-76655 or 01874-221100
E-mail Address *
Admission Batch *
Branch of Study *
College Roll No.
XXXX/XX
Participation in Cultural Events *
Scouts Experience, if any *
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