ANNA UNIVERSITY, CHENNAI - 25
Knowledge Data Centre
DATA SHEET FOR STUDENT SMARTCARD
Name : PREETHA A
Reg.No/Appl.No : 3105313
Campus : UCE-ARNI
Gender : FEMALE
Degree : B.E
Department : Computer Science And Engineering
Blood Group : B+
Residential Address : 6b/2 Vada Mada Street Pallikonda Vellore Dt
Pincode : 635809
Mobile No : 9677344416
Emergency No : 9489837707
___________________
Signature of Student
_________________________________ _____________________
Head of Department / Director of centre Dean Signature
(Signatrure with Seal) (Signatrure with Seal)
Only for Office use
____________________________________________________________________
Smart card my be issued
__________________ ____________________
Dealing Hand Knowledge Data Centre
Telephone: 044 - 2235856 / 57
16/07/2016 22:09:17
1