ANTI RAGGING Undertaking BY Students And Parents/Guardians

Personal Details                                                          20/11/2018 
Student Name :
Father's Name :
Gender
Nationality :
Student Mobile No. :
Student Friends Mobile No. In case of Emergency :
Student Email ID :
Temporary Address :
Permanent Address :
City :
State :
Parent/Guardian's Details
Parent/Guardian's Name :
Parent/Guardian's Address :
City :
State :
Residence Phone Number:
Mobile No. Of Parents :
Parent/Guardian's Email ID :
Course Details
Name of Course :
Registration /Enrolment No. :
How many Studnentd are in Class :
Year of Study :