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Registration
Name
Father's Name
Date of Birth
Contact No
Alternate Contact No
Email ID
Course Name
B.E./B.Tech.
MCA
M.E./M.Tech.
Department
Year of Passing
Hostel(For hostelers only)
Current Address
Current Profession
Current Position
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I hereby declare that all information provided above are true. I also agree to pay the sum of Rs. 1000/- INR registration fees & Rs. 1000/- INR subscription fees for the current financial year.
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