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ASAN Students Database Form
ALL ASAN STUDENTS MUST FILLUP THIS FORM
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* Indicates required question
Email
*
Your email
Full Name
*
Your answer
Full Roll No. (B,D,Phd/Year/Branch/No.)
*
Your answer
Working Phone No.
*
Your answer
Parents Name
*
Your answer
Parents Phone No.(In case of emergency contact)
*
Your answer
Permanent Address
*
Your answer
Hostel Block
*
Choose
A
B
C
D
E
F
G
H
Brahmaputra
Subansiri
Subansiri Extn.
Blood Group
*
Choose
A+
O+
B+
A-
B-
O-
AB+
AB-
Undertaking
*
I do hereby declare that the particulars furnished by me are complete and true to the best of my knowledge. I give my consent to willingly join ASAN and should abide by the rules and regulations set by the constitution.
Quilgo Submission ID (do not edit)
*
⚠️ DO NOT EDIT this field or your time will not be recorded.
Your answer
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