Student Representative Data Form 2018- 2019
Contact details of Student Representative deputed for coordinating Placement Activities 2018 - 2019
Name of the Student (Initials at the end) *
Your answer
Name of the Program *
Class (III UG /II PG ) *
Aided / Un-Aided *
Student's Address for communication with PIN code *
Your answer
Student's Permanent Address with PIN code *
Your answer
No. of Students studying in the class *
Your answer
E-Mail ID *
Your answer
Mobile No: (Whats App No. Preferable) *
Your answer
Name of the Class Tutor, Contact No and E-Mail ID *
Your answer
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