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Student Enrollment Form

The document is an NSS Enrolment Form for the academic year 2019-2020 at Gandhi College, Bengaluru. It requires personal information from the student, including skills, previous NSS experience, and parental details, along with a declaration of adherence to NSS rules. The form must be signed by both the candidate and their parents, along with the NSS Programme Officer's seal.

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durgaraut1991
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0% found this document useful (0 votes)
174 views1 page

Student Enrollment Form

The document is an NSS Enrolment Form for the academic year 2019-2020 at Gandhi College, Bengaluru. It requires personal information from the student, including skills, previous NSS experience, and parental details, along with a declaration of adherence to NSS rules. The form must be signed by both the candidate and their parents, along with the NSS Programme Officer's seal.

Uploaded by

durgaraut1991
Copyright
© © All Rights Reserved
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

College Logo

Gandhi College, Bengaluru


Affiliated to Bengaluru Central University
NSS ENROLMENT FORM 2019 – 2020

1. Name of the Student and Class :


(In capital letters)
2. Date of Birth and age :
Contact No. & Email Id :
3. Name and address of the Parents :
Contact No. & Email Id :
4. Address during term :
5. Indicate whether you know the general skills
Mentioned in this column:
a) Cycling e) Literary talents
b) Swimming f) Cultural talent
c) Sports g) Any other skill
d) Farming

(Please tick against that you know)

6. Previous experience of NSS (Work done, If any): Yes No


7. Whether you were/are in NCC : Yes No
8. Indicate whether your belong to SC/ST:
9. Blood group of volunteer :

DECLARATION

_____________________ Class _______hereby declare that if I am admitted to NSS. I shall


abide by the rules and discipline of NSS in force, I am aware that I am liable for disciplinary
action which might include expulsion from NSS for non-compliance of the rule that are in
force or any other directive issued by the officers.

SIGNATURE OF THE CANDIDATE

NSS Programme Officer


(With Office Seal)
SIGNATURE OF THE PARENTS

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