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S.M.S Govt. Model Science College, Gwalior - 20241217 - 215829 - 0000

Sms sports

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divyanshsengar5
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70 views1 page

S.M.S Govt. Model Science College, Gwalior - 20241217 - 215829 - 0000

Sms sports

Uploaded by

divyanshsengar5
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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S.M.S GOVT.

MODEL SCIENCE
COLLEGE, GWALIOR
JIWAJI UNIVERSITY
NATIONAL SERVICE SCHEME
ENROLLMENT FORM FOR SESSION 2024-25

1. Name -__________________________________ Passport


2. Father's Name-_________________________ Size recent
3. Father'sOccupation-___________________ photo
4 Mother's Name-________________________
5. Course- ________________________________
6. Date of Birth -__________________________
7. Category(S.C/S.T/O.B.C/ U.R)-__________
8. Blood Group-________
9. Full Address-
__________________________________________________________________________________
______________________________________Pin Code-______________________
10. Contact Number-______________________
11. Email Id-______________________________________
12. Please mark below if you are interested in any of the following activity:-
S.No Activity Interested ( Yes/No) Yet participated or not
1. Sports
2. Yoga
3. Drawing
4. Song
5. Dance
6. Writing
7. Debate/Speech

I _________________ here by agree to obey all the rules and regulations of National
Service Scheme (NSS) and agree to work within the framework of NSS. I state
that all the information furnished by me, are true and correct.
I am aware of NSS work responsibilities and agree to carry out necessary actions.

Dr. A.K Baraiya


Student's sign
(NSS Officer)

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