University College of Engineering Nagercoil 629 004
(Anna University Constituent College)
UCEN GYM - Enrollment Form
Name *
Category *
Register Number / ID No *
Date of Birth *
MM
/
DD
/
YYYY
Mobile No *
email id: *
Place of Residence *
Height
(in cm)
Weight
(in Kg)
Slot Preference *
Emergency Contact Details:
Contact Name *
Mobile No *
Disclaimer *
Required
Note:
Presently, the gym is only for male
Submit
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