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  • Membership Form

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    Devesh Dubey
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    The document contains a library registration form for Devesh Rangnath Dubey to join the S S T College of Arts & Commerce library. It provides his personal details like name, member ID, date of birth, address, mobile number, department, and year of joining. He is registering as an undergraduate CS student for the 2023 year with an inactive member status.

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    The document contains a library registration form for Devesh Rangnath Dubey to join the S S T College of Arts & Commerce library. It provides his personal details like name, member ID, date of birth, address, mobile number, department, and year of joining. He is registering as an undergraduate CS student for the 2023 year with an inactive member status.

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    © All Rights Reserved
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    8 views1 page

    Membership Form

    Uploaded by

    Devesh Dubey
    The document contains a library registration form for Devesh Rangnath Dubey to join the S S T College of Arts & Commerce library. It provides his personal details like name, member ID, date of birth, address, mobile number, department, and year of joining. He is registering as an undergraduate CS student for the 2023 year with an inactive member status.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 1

    S S T College of Arts & Commerce

    Ulhasnagar

    LIBRARY REGISTRATION

    Member Application
    Name : Devesh Rangnath Dubey

    Member ID :

    Email id : deveshdubey625@gmail.com

    Date of Birth : 18/08/2005

    Gender Male

    Institute : S S T College of Arts & Commerce

    Category : U G Students

    Department : U G CS

    Designation : FYCS

    Fee Receipt Number : 31250

    Fee Receipt Date : 12/07/2023

    Permanent Address : Kaka dhaba, rajaram patil nagar, Dinkar park 101 , Kalyan , 421306

    Present Address : Kaka dhaba, rajaram patil nagar, Dinkar park 101 , Kalyan , 421306

    Mobile No. : 7823826696

    Joining Year : 2023

    Member Type : Faculty

    Member Status : INACTIVE

    I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief and I
    undertake to inform you of any changes therein , immediately. In case any of the above information is found to be
    false or untrue or misleading or misrepresenting, I am aware that I may be held liable for it.

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