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Anna University :: Chennai 600 025

Knowledge Data Centre


Telephone : 044 2235 8556 / 57

DATA SHEET FOR E-MAIL ACCOUNT


(NOTE : To be filled in CAPITAL LETTERS)
Name (Initial at the end) :

Gender : Male Female Blood Group :

PHOTO
Designation :
(attach appointment order copy if
applicable)
Department :

Roll No. / ID No. :

Campus : Attested by HOD /


Director

Residential Address :

Pincode :

Mobile No. : Office


Phone. No.

Preffered E-Mail Account Name # 1 : @aukdc.edu.in

Preffered E-Mail Account Name # 2 : @aukdc.edu.in

Signature of the candidate :

Dean
Head of the Department / Director of Centre
(Signature With Seal) (Signature With Seal)

FOR OFFICE USE ONLY


E-Mail ID may be Created

Dealing Hand Director

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