NSS MAHARANI COLLEGE 2022-23

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Name *

Father's Name *

Mother's Name *

Aadhar No. *

Date of Birth *

YYYY

Category *

Class

B.A

B.Com

B.Sc.

BCA

BBA

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Were you an NSS Volunteer in the previous year? *

Yes

If you were NSS Volunteer, write the name of your unit's Programme Officer (Teacher)

Have you ever participated in any co-curricular activity? Give Details. *

Contact No. *

Whatsapp No. *

Permanent Address *

Blood Group *

MEDICAL FITNESS

YES

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Any Disease / Allergy

Declaration *

Please enrol me as an NSS volunteer in this institution for the session 2021-22, I solemnly declare that I shall work as a disciplined Social Worker in all the activities of the National Service Scheme and shall abide by all its rules and regulations. I shall not indulge in any undesirable activity which may bring disrepute to the institution and to the NSS. I declare that all the details filled in this form are true to my knowledge and I agree to terms of the institution.

I agree

Required

A copy of your responses will be emailed to the address you provided.

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