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DIBRUGARH UNIVERSITY SPORTS BOARD

INTER COLLEGE YOUTH FESTIVAL 2017-18

EVENT WISE COMPOSITE ENTRY FORM

1. Name of the College:…………………………………………………………………

2. Name of the Contingent In-Charge:………………………………………………

NAMES OF STUDENT PARTICIPANT AND ACCOMPANIST FOR THE EVENT


(Use separate form for each of events)

Sl no. Name of participants Date of Birth & Item(s) in which Photo (stamp size) with
In block letters Age on participate signature of the
01.07.2017 participants

10

Prof.-in-Charge Principal
Signature & stamp Signature & stamp

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