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Office Bearers Registration Form 2023

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Sa 5 eHorockarn foe (deemed to be UNIVERSITY) RSITY) REQUEST FOR NOMINATION AS AN OFFICE-BEARER 2023-24 Name Class Enrol. No. Mother's Name Father's Name Postal Address Pin Tel.No. ®) (Mobile) Email Address Examination Last Passed and Percentage Obtained Name of the School/ College lastattended Areas of interest Did you participate in the preliminary round of Ms. Fresher Contest? Ifnot why ? Distinguised achievement in the past Have you held any post in the past in the IIS (deemed to be University) Council. If yes, Mention your post and contribution to the same Dated Signature Recommendation of the Student's Welfare Committee LO Good Livery Good 1 Outstanding Any other comments Gurukul Marg_= SFS = Mansarovar = Jaipur 302 020 = Rajasthan = INDIA Tel : +91-141-2400160-161 a Fax: +91-141-2395494 m Email :ieg@ilsunivac.in = Web : wwwiisunivacin

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