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
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