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Student - Smart Card Form

The document contains a data sheet for a student smart card for Anna University in Chennai, India. It requests information such as the student's name, gender, degree program, registration/roll number, campus, permanent address, phone number, blood type, emergency contact number, signature, and date. The information collected will be printed on the student's identification card.

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Senthil Sivakumar
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330 views1 page

Student - Smart Card Form

The document contains a data sheet for a student smart card for Anna University in Chennai, India. It requests information such as the student's name, gender, degree program, registration/roll number, campus, permanent address, phone number, blood type, emergency contact number, signature, and date. The information collected will be printed on the student's identification card.

Uploaded by

Senthil Sivakumar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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CENTRE FOR PROFESSIONAL DEVELOPMENT EDUCATION

ANNA UNIVERSITY :: CHENNAI - 600 025.



DATA SHEET FOR STUDENT SMART CARD
(NOTE : To be fill ed in CAPITAL LETTERS)


Name (Initial at the end) :


Gender :
Male Female


Degree :

Branch :

Regn. / Roll No. :

Campus :

Address (Permanent
address : to be printed
in the ID Card)
:








Pincode :


Phone No. :
Blood Group :
Emergency Phone No. :
Si gnature of the
Candi date
:



Date :

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