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Extra Curricular Activities Student Record

This document contains sections for a student's personal details, extracurricular activities, department and course information, address details, parent details, and educational history. It appears to be a form for a student record at the Department of Electronics and Communication Engineering at Anna University in Chennai, India. The form collects information to document a student's profile during their time studying at the university.

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srisairampoly
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153 views1 page

Extra Curricular Activities Student Record

This document contains sections for a student's personal details, extracurricular activities, department and course information, address details, parent details, and educational history. It appears to be a form for a student record at the Department of Electronics and Communication Engineering at Anna University in Chennai, India. The form collects information to document a student's profile during their time studying at the university.

Uploaded by

srisairampoly
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 PDF, TXT or read online on Scribd
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EXTRA CURRICULAR ACTIVITIES

Technical Seminar Publication Mini project Sports Cultural Association post held Any other :

DEPARTMENT OF ELECTRONICS AND COMMUNICATION ENGINEERING ANNA UNIVERSITY, CHENNAI- 600 025

STUDENT RECORD
COURSE :
CATERGORY: Gate Non-Gate Sponsor

: Admitted Year : : : : : : Reg. No Name : : Affix your passport photo here

Male/Female : Date of Birth Blood Group Community : : : OC BC ADDRESS MBC SC ST

ANY OTHER INFORMATION


I Semester II Semester III Semester IV Semester PASSED OUT YEAR :

Permanent Address . . Phone No. : Email :

Local Guardian Address . . Phone No. : Email :

PARENT DETAILS : : STAY AT : i) Hostel : I Year Address . . Phone No. : Email : II Year Address . . Phone No. : Email : ii) House iii) Local Guardian iv) Others Name Occupation Contact number(mobile number)

EDUCATIONAL DETAILS NAME & SIGNATURE OF Faculty Mentor PROFESSOR & HEAD Department of ECE Name of the board/ university Name of the Institution Year of Passing Percentage of Marks

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