NATIONAL SERVICE SCHEME DRONACHARYA GROUP OF INSTITUTIONS, GREATER NOIDA
ENROLLMENT FORM
Name of the Student *
Email( College Id) *
Year of joining the Institute *
University Register/Roll No. *
Branch *
Current Semester *
Date of Birth *
MM
/
DD
/
YYYY
Sex (Please Tick) *
Required
Caste (Please Tick) *
Required
Physical Features(Height)
Physical Features(Weight)
Health status - illness (if any)
PH/Visually impaired
Father’s Name *
Mother’s Name *
Permanent Address *
Residential Address(Ignore if it is same as Permanent Address)
Telephone No. (Mobile) *
Telephone No. (Landline)
Email Address(your own) *
Blood Group *
Extra-curricular Talents (Specify) *
Areas of interest
Previous experience in NSS
DECLARATIONI: I hereby agree to obey all rules and regulations of National Service Scheme (NSS) and agree to work within the framework of NSS. I state that all the information furnished by me above are true and correct to the best of my knowledge and belief. I understand that any wrong information and disobeyance of NSS rules and regulations lead to my disqualification from NSS membership. *
Required
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