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Vidyasagar University, NSS Volunteer Registration Form, Y. S. Palpara Mahavidyalaya (2nd Year Students Only)
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* Indicates required question
Name of the Student
*
Your answer
Father's Name
*
Your answer
ADHAAR Number
*
Your answer
Gender
*
Male
Female
Other:
DOB
*
MM
/
DD
/
YYYY
STATE
*
WEST BENGAL
DISTRICT
*
Your answer
BLOCK
*
Your answer
P.O.
*
Your answer
VILLAGE NAME
*
Your answer
PIN CODE
*
Your answer
E-MAIL ID (WRITE IN SMALL LETTER)
*
Your answer
MOBILE NUMBER
*
Your answer
BLOOD GROUP
*
Your answer
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