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Etech

Engineering Class

Name: ______________________________________________________________

College Name: ________________________________________________________

Branch: _____________________________________________________________

Permanent Address: _____________________________________________________

____________________________________________________

Temp Address: ______________________________________________________

_______________________________________________________

Contact no: ____________________ Father's No: ________________________

Subjects\ Semester: ____________________________________________________

Total Fees: ____________________________________________________________

Remarks if any: _____________________________________________________

How Do u know About Us:

Friend SignBoard / Banner Office Location


Google Facebook Youtube Others (____________)

Date: ____________ Sign of Student: _______________

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