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    Mohit Saini, a student pursuing M.C.A. I at the Department of CSC, Panjab University, Chandigarh applied for membership at the A.C. Joshi Library. He provided his personal details like name, father's name, date of birth, gender, contact details, permanent address, department and blood group. He agreed to follow all library rules and regulations and get clearance from the department at the time of leaving. The recommending authority certified that he is a confirmed student.

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    Mohit Saini, a student pursuing M.C.A. I at the Department of CSC, Panjab University, Chandigarh applied for membership at the A.C. Joshi Library. He provided his personal details like name, father's name, date of birth, gender, contact details, permanent address, department and blood group. He agreed to follow all library rules and regulations and get clearance from the department at the time of leaving. The recommending authority certified that he is a confirmed student.

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    © All Rights Reserved
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    13 views1 page

    Library Form PDF

    Uploaded by

    mohit
    Mohit Saini, a student pursuing M.C.A. I at the Department of CSC, Panjab University, Chandigarh applied for membership at the A.C. Joshi Library. He provided his personal details like name, father's name, date of birth, gender, contact details, permanent address, department and blood group. He agreed to follow all library rules and regulations and get clearance from the department at the time of leaving. The recommending authority certified that he is a confirmed student.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    A.C. JOSHI LIBRARY Membership No.

    Form No: 95122


    PANJAB UNIVERSITY, CHANDIGARH
    Membership Application Form

    Name : Mohit Saini


    Father Name : Gurpal Singh Mother Name : Preeto Devi
    Birth Date : 14-Nov-1997 Gender :M
    Contact Details:
    Address : #1056 A SEC-28 CHANDIGARH,160019
    :
    Mobile : 8295018194 E-mail sainimohitsaini786@g
    mail.com
    : VILLAGE-KHERA GANI,PO FATEHGARH,TEHSIL-
    Permanent Address
    NARAINGARH,134201
    Other Details:
    Department : CSC Designation :
    Class : M.C.A. I Blood Group : O +ve

    1. This department/College is affiliated to the Panjab University, Chandigarh.

    2. Undertake that he/she will get clearance certificate from you at the time of leaving this
    Department/College.

    Signature & designation of the Recommending Authority

    Certified that Mr./Ms ………………………………………… is a confirmed employee.

    Office Superintendent (Estt.)

    I am not already member of this Library. Please enroll me as a member of A.C. Joshi Library,
    Panjab University, Chandigarh. I agree to conform to the rules and regulations of the Library and
    shall pay any dues which may result through their infringement.

    (Applicant’s Signature and date)

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