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Library Registration Form - 2020

Only for MBA, BBA, BCA, BHM, MHA, BMS, MMS.

Email *

sarkar.avik1995@gmail.com

Name (BLOCK Letter) *

AVIK SARKAR

Department *

MBA

MHA

MMS

BBA

BCA

BMS

BHM

Blood Group (Please Provide Correct Group) *

B+
Date of Birth *
DD/MM/YYYY

01/11/1995

Gender *

Female

Male

Other:

Whatsapp No. (Student)

7687982439

Other Mobile No. (Student)

7003153098

E-mail ID (Student) *

aviksarkar95@gmail.com

Father's Name *

LATE SHYAMAL SARKAR


Mobile No. (Father)

Mother's Name *

RUMA SARKAR

Mother's Mobile No.

8902326534

Address (Permanent) *

2100, CHAK GARIA SREENAGAR MAIN ROAD, KOLKATA-700094

Photo - jpg format *

IMG_20201207_…

Signature - jpg format *


Put your full signature down on a white paper (use Black Ink) then take a good quality picture of it and upload here.

IMG_20201207_…
Aadhar Card No.

9480 5737 3483

This form was created inside Future Institute of Engineering & Management.

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