STUDENT ID CARD REQUEST
**Instructions :
1.Students Can only apply.
2.Fill only with CAPITAL Letters.
3.Form once submitted cannot be edited again.
4.Applications with valid receipt number will only get processed.
5.Photo must be professional, Use only Plain backgrounds and Must be clear (Violations will be fined Rs.500/-)
6.For support, Kindly contact your class advisor.
Email address *
Name of the Student *
(Full name with initial)
Course / Department *
Batch *
Roll No *
(eg: 14civil80)
Date of Birth *
MM
/
DD
/
YYYY
Father Name *
Residential Address *
(Full address with pin code)
Blood Group
Contact Number *
Emergency Contact Number *
Reason for Applying *
Receipt Number *
(Pay Rs.150/- in the billing counter and get a receipt number)
UPLOAD YOUR RECEIPT *
Required
UPLOAD YOUR RECENT PASSPORT SIZE PHOTO *
(Photo must be professional, Use only Plain backgrounds and Must be clear) - Violations will be fined Rs.500/-
Required
A copy of your responses will be emailed to the address you provided.
Submit
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