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Student Registration Form

This document is a registration form for the Samast Satvara Students Association. It requests basic personal information from the student such as name, study details, birthdate, addresses, contact information, as well as family details like names, qualifications, and occupations of parents, siblings. The form also has sections for office use to note registration fee received, receipt number, district, and signature of the recipient.

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138 views2 pages

Student Registration Form

This document is a registration form for the Samast Satvara Students Association. It requests basic personal information from the student such as name, study details, birthdate, addresses, contact information, as well as family details like names, qualifications, and occupations of parents, siblings. The form also has sections for office use to note registration fee received, receipt number, district, and signature of the recipient.

Uploaded by

api-3853966
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd

‫ ׀׀‬Jai Siddhnath ‫׀׀‬

SAMAST SATVARA
STUDENTS ASSOCIATION
REGISTRATION FORM

STUDENT INFORMATION
(Fill in BLOCK LETTERS only)
NAME : _________________________________________________
STUDY : _________________________________________________
COLLEGE : _________________________________________________ Kindly Paste
BIRTH DATE : _________________________________________________ Passport size
BLOOD GROUP : _________________________________________________ Photograph
NATIVE PLACE : _________________________________________________
PRESENT : _________________________________________________ (Do not Staple)
ADDRESS _________________________________________________
_________________________________________________
PERMENANT : _________________________________________________
ADDRESS _________________________________________________
_________________________________________________
MOBILE NO. : _________________________________________________
MOBILE NO.(R) : _________________________________________________
E-MAIL ID : _________________________________________________

FAMILY INFORMATION

Name Qualification Occupation


FATHER
MOTHER
BROTHER/
SISTER
• Contact us : [email protected] • Visit : www.satvara.org
__________________________________________________________________________________________
 For office use only :
Fee Received : ________________ Receipt No. : ________________
District : ________________ Recipient’s Sign : ________________
--------------------------------------------------------------------------

FORM RECEIVED ON : _________________ S


REGISTRATION NO. : _________________ SSA
Sign.

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