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Application Form

TPC UIET 2012-13

Name:

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Branch :

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Semester:

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Contact No. :

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E-mail Id:

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Paste
Your
Photograph

Aggregate
ggregate till last semester: ______________________
Hosteller/Day Scholar : __________________________
Local Address: _________________________________________________________________
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1. Few lines About yourself


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2. Extra Co-curricular
curricular Activities
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3. What motivates you to be in TPC
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4. Reason behind joining TPC
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5. Previous experiences in TPC
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6. Thoughts about TPC
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7. Comments on last years working of TPC
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8. Any other Commitments other than TPC
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9. Preferred Sub-Committee of TPC
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Signature

Note: You can use extra sheet to answer the Questions.

Date : _________________

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