NATIONAL INSTITUTE OF TECHNOLOGY PUDUCHERRY

(An Institution of National Importance, MoE, GOI)

Thiruvettakudy, Karaikal – 609 609

NOMINATION FOR ELECTION 2024: GENERAL BODY OF THE STUDENT COUNCIL*

Name of the Post :

Full Name :

Gender :

Roll No. : Batch/Semester :

Email id. : Phone No. :

Academic CGPA :
(as on Date)
Responsibility Held (to be endorsed by Faculty Advisor/Warden/NCC/NSS Officer)

1.

2.

3.

Signature of the Candidate

Proposer Name :
Roll No. :
Batch/Semester :

Signature of the Proposer

Hostel Warden :
(if applicable)

Faculty Advisor/ :
Ph.D. Research Guide

Head of the :
Department

*The duly filled-in form should be submitted to the Office of the Dean (Students Welfare).