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Registration Form

This document contains a registration form for the 7th graduation day of Valliammai Engineering College to be held on April 17, 2011. It includes the student's personal details like name, registration number, branch, address, contact phone numbers and names of accompanying relatives. The student, Selva Muthu Kumaran, is requesting to register for the graduation ceremony by signing and dating the form, with the last date for registration being April 11, 2011.

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30 views1 page

Registration Form

This document contains a registration form for the 7th graduation day of Valliammai Engineering College to be held on April 17, 2011. It includes the student's personal details like name, registration number, branch, address, contact phone numbers and names of accompanying relatives. The student, Selva Muthu Kumaran, is requesting to register for the graduation ceremony by signing and dating the form, with the last date for registration being April 11, 2011.

Uploaded by

sreeni0076
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
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VALLIAMMAI ENGINEERING COLLEGE

SRM NAGAR, KATTANKULATHUR – 603 203

7th GRADUATION DAY on 17th April 2011

REGISTRATION FORM

1. Name (in Block Letters) :Selva Muthu Kumaran.N


2. University Exam Reg. No. :42206104088
3. Branch :CSE-2
4. Address for communication :20, Santhana Krishnana st, Nehru
nagar
Chrompet

5. Contact Phone No. (With STD code) :


6. Mobile Number :8056127187
7. E-Mail ID :smkumaran.n@gmail.com
8. Local (Chennai) phone no. (if any) :
9. Name of accompanying persons not
exceeding two with relationship :Natarajan .R, Thanagamani. T
(Children not allowed)

I request you to register my name for the 7th graduation of the


‘Valliammai Engineering College’ to be held on 17th April 2011.

Place :Chennai
Date :21/03/11

Signature

SelvaMuthuKumaran.N
Last Date for Registration : 11.04.2011

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