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Counselling Appointment Request
(In case of an emergency, please call at +91-78370-10666 or email at
councellingcell@gmail.com
)
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* Indicates required question
Student name(Full Name)
*
Your answer
Salutation
*
Ms.
Mrs.
Mr.
Dr.
Class/Course(e.g. B.Sc. NM, Law etc.)/Sem
*
Your answer
Roll No.
*
Your answer
Department
*
Your answer
Institute(please check that apply)
*
UIL
UISH
UIET
UICM
UICAIS
UIE
I want to meet regarding the following(Check all that apply)
*
Personal
Academic(Score/Subject/Course/Assignment etc.)
Hostel
Transportation
Examination
Sports
Financial Support System/Schemes offered by the university/Govt.
Career awareness
Training and Placement
Other:
Required
If reason of the appointment is confidential, type CONFIDENTIAL
Your answer
Additional information(provide any further information you wish to share, if any)
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Phone No.
*
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