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State Representative Registration Form

The document is a registration form for Ravindra Rajak to be a State Representative for the Indian Society of New Era Engineers, which includes his personal details like name, father's name, contact information, address, college and course details. He wants to be selected because he is interested in the work, wants to learn, can work hard to increase membership, and there are many engineering colleges in Bhopal city where he can be an active member. The form also has sections for details of teams he expects to form from his state and his signature declaring the information provided is correct.

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49 views3 pages

State Representative Registration Form

The document is a registration form for Ravindra Rajak to be a State Representative for the Indian Society of New Era Engineers, which includes his personal details like name, father's name, contact information, address, college and course details. He wants to be selected because he is interested in the work, wants to learn, can work hard to increase membership, and there are many engineering colleges in Bhopal city where he can be an active member. The form also has sections for details of teams he expects to form from his state and his signature declaring the information provided is correct.

Uploaded by

priyeshdongre
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 DOCX, PDF, TXT or read online on Scribd
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Registration Form

State Representative- Indian Society of New Era Engineers NAME: RAVINDRA RAJAK FATHER NAME: RAMNIWAS RAJAK COLLEGE/UNIVERSITY NAME: Oriental institute of science & tech. Bhopal M.P.

COURSE: B.E (Automobile Engineering). CONTACT NO: 7828932590, 08269023451 EMAIL ID [email protected] PRESENT ADDRESS: D-108 patel nagar raisen road Bhopal , near oriental college POSTAL CODE: CITY: BHOPAL STATE: M.P. 4 CITY:Shivpuri STATE: M.P 7 3 5 5 1 4 6 2 0 2 1 Photo

PERMANENT ADDRESS: LIG-II-33 , R.K. Puram colony shivpuri M.P.

Why do we select you? 1. Because I am interested in work with you . 2. I want to learn a lot from such events . 3. I can work hard for increasing membership of our society .

4. In Bhopal city , more than 110 engineering colleges are there. 5 I can be a most active member in my point of view.

Expected Number of teams from your state

20

SRs Team Details

S. No. 1

Designation Event Manager

Name College/University Name

Email Id Contact No.

Photo

Publicity Manager

Registration Manager

CoordinatorEvent Manager

CoordinatorEvent Manager

CoordinatorPublicity Manager

CoordinatorPublicity Manager

CoordinatorRegistration Manager

CoordinatorRegistration Manager

Note: I hereby declare that all the information provided in the registration documents is correct
to the best of my knowledge. Also, I declare that the team would undertake all the activities to be performed as per the instructions provided by officials of ISNEE. In case of violation of rules and regulations, the team is liable for further actions as per the decision of the ISNEE Management. The team is also liable for any losses of documentation/communication on part of discrepancy in the information as provided above. The team would provide all the original documents to the head office of ISNEE as soon as possible.

SR Signature______ SR Name_RAVINDRA RAJAK_______ Date_____27/05/13_____ Place______Bhopal____________

______

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