Unit Number:
Date
1) Name:
2) student's full name (Surname First):
3) Address:
4) Date of Birth: 1st july's Brings Age year Month
5) Volunteer Blood Group:
E-mail: Mobile:
6) Caste (SC, ST, OBC, Open) :
7) Interested in what activity?
I am convinced that by joining in NSS, I will follow its policies. During my training I agree to join all the kinds of risks I am involved in.
Father Name: Designation:
Student Name: Class: ROll No:
............................................................................................ offce Only ....................................................................................................
Looking at the candidate’s information above, Admission is given in.
NSS Joining in:
NSS Group Code No:
