Student Representative Data Form
Contact details of Student Representative deputed for coordinating Placement Activities 2017 - 2018
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
Submit
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