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ANTI RAGGING UNDERTAKING BY STUDENTS AND PARENTS/GUARDIANS

Fields marked with red* are compulsory.

Personal Details

Student's Family Name *     

Roy

    
Student's Middle Name Enter your Middle Name

Student's First Name *     

Dipangshu

Gender * Male Female

    

Nationality *     
Indian

    
Student's Mobile Number* +91 9002171556

    
Student’s friends Mobile number in case of an emergency * +91 9382589280

    
Landline Number +91 Enter your Landline No.

    
2droy0@gmail.com
Student's email ID *

    
2droy0@gmail.com
Confirm student's email ID *

Ghosh Para, Mangalbari
    

Old Malda 732142
Permanent Address 1 *

Enter your Address2

Address 2

City *     
Malda

State * West Bengal

    

Parent/Guardian Details

    
Mr. Sumit Kumar Roy
Parent/Guardian’s name*     

South Singatala, Near Malda Town High     

School

Parent/Guardian Address 1* Malda 732101

Enter your Address2

Address 2

City *     
Malda

State West Bengal

    
     
Residence Phone No * +91 33 12252258

    
Mobile No of Parent/Guardian* +91 8967118890

         
Parent/Guardian’s Email ID * sumit.ray.mths@gmail.com

College Details

State in which the College is * West Bengal

    

Is it a Professional College or a General College * Others

    

Name of the College *     

Jadavpur University

    
Name of Affiliated University * Jadavpur University

It is Deemed University * Yes No

    

    
Das
Director/Principal Family Name*

    
Prof Suranjan
Director/Principal First Name *

Director/principal Gender * Male Female

    

    
College Phone No. 1* +91 33 24146000

College Phone No. 2 +91 33 24572222

    
Nearest Police station Name and Address* South Bidhan Nagar Police Station, Bidhannagar, Kolkata

Course Details

    
Under Graduate or Post Graduate  * Under Graduate Degree

Name of the Course *     

Bachelor of Information Technology

Your Registration/Enrolment  Number 001811001014

    
How many students are in your Class * 86

Year of Study* 1
    

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 National Anti Ragging Help Line (UGC Crisis Hotline)
24x7 Toll Free Number* 1800-180-5522
(helpline@antiragging.in)

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