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Form A MUJ

The document is a form for the Teacher-Guardian Scheme from the Directorate of Students' Welfare, detailing student Mahesh G.'s personal information, including contact details, family background, and parent information. Mahesh's father is an entrepreneur at SHARP, while his mother is a homemaker. The form also includes communication addresses and signatures.

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Dr. V. JEYAKRISHNAN CS
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53 views4 pages

Form A MUJ

The document is a form for the Teacher-Guardian Scheme from the Directorate of Students' Welfare, detailing student Mahesh G.'s personal information, including contact details, family background, and parent information. Mahesh's father is an entrepreneur at SHARP, while his mother is a homemaker. The form also includes communication addresses and signatures.

Uploaded by

Dr. V. JEYAKRISHNAN CS
Copyright
© © All Rights Reserved
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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DIRECTORATE OF STUDENTS’ WELFARE

TEACHER-GUARDIAN SCHEME ( FORM-A )

MUJ/SW/TG/Form A
Student Details

Name: MAHESH .G Registration No.:2427030401

Section:N2 Roll No.:2427030401 Branch:CSE(CORE)

Mobile No.:9266842717 E-mail Id:[email protected]

Hostel Block No.:G7 Room No.:515 Blood Group: O+ve Date of Birth: 24/11/2005

Any MUJ alumni in your family? - If Yes, please give their names, branch, batch, institution and
relationship
Yes No
HARSHITH.G, AIML, 2022-2026, BROTHER

Details of the Parents

MUJ/SW/TG/Form A
Father’s Name:MADHU GEDUPURI Mother’s Name:MOHAN KUMARI GEDUPURI

Occupation: Occupation: Home Maker:


Entrepreneur: Family business: Public Sector: Entrepreneur: Family business: Public Sector:
Professional: Govt. Employee: Pvt. Company: Professional: Govt. Employee: Pvt. Company:

Name of the organization and designation: SHARP,GM Name of the organization and designation:

Mobile No.:9845995695 Mobile No.:8884868427

E-mail Id:[email protected] E-mail Id:

Address for Communication: 29-C, SHATABDHI VIHAR, SECTOR Permanent Address: 29-C, SHATABDHI VIHAR, SECTOR 61,
61, NOIDA NOIDA

Pin Code:201307
Pin Code:201307

MUJ/SW/TG/Form A
Signature of the Student
Business Card of the Parent

MUJ/SW/TG/Form A

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