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STUDENTS & RESEARCH SCHOLARS - LIBRARY MEMBERSHIP FORM
Library Membership Registration Form for Students & Research Scholars
* Indicates required question
Salutation
*
Mr
Miss
Mrs
Full Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Gender
*
Male
Female
Complete Residential Address (Including City, State & PIN Code)
*
Your answer
Alternate Address
*
Your answer
Mobile Number
*
Your answer
Alternate Mobile Number
*
Your answer
E-Mail ID
*
Your answer
College ID Card Number/UID Number (Ex. 23U5106)
*
Your answer
Programme
*
BE
M.Tech
MCA
MBA
Architecture
B.Sc. Honours
Ph.D
Branch
*
Your answer
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