CLUB MEMBERSHIP FORM
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Email *
Name *
Student Contact Number *
Date of Birth *
MM
/
DD
/
YYYY
Course & Branch *
Past Achievements & extra Curricular Activities
Club Name [1st Preference] *
Any Ideas/Suggestions/Expectations [1st Preference]
Club Name [2nd Preference] *
Any Ideas/Suggestions/Expectations [2nd Preference]
Club Name [3rd Preference] *
Any Ideas/Suggestions/Expectations [3rd Preference]
Any other suggestive Club
A copy of your responses will be emailed to the address you provided.
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