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IPT Registration Form

We request you to fill the below details and send back to ​azfar@uniqtechnologies.co.in​.
College Name :
Degree
Dept :
Year of Studying :
Preferred Joining Date :
Preferred Ending Date :
Contact number​(for verification and confirmation):
Note​:​ Registered students can attend any of your preferred days. Dates can be changed later also

No Student Name Reg No.

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#1 Shifa Arcade, Bharathi Nagar 1​st​ Street​, North Usman Road, T-Nagar, Chennai – 600 017
74, Kongu nagar, Ramanathapuram, Opp Alvernia School, Coimbatore - 641 045.
044 - 42124943 | 97910 04050 | 95000 88927 | ​info@uniqtechnologies.co.in
www.uniqtechnologies.co.in
No Student Name Reg No.

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#1 Shifa Arcade, Bharathi Nagar 1​st​ Street​, North Usman Road, T-Nagar, Chennai – 600 017
74, Kongu nagar, Ramanathapuram, Opp Alvernia School, Coimbatore - 641 045.
044 - 42124943 | 97910 04050 | 95000 88927 | ​info@uniqtechnologies.co.in
www.uniqtechnologies.co.in
--------------------------------------------------------------------------------------------------------------------------------------
#1 Shifa Arcade, Bharathi Nagar 1​st​ Street​, North Usman Road, T-Nagar, Chennai – 600 017
74, Kongu nagar, Ramanathapuram, Opp Alvernia School, Coimbatore - 641 045.
044 - 42124943 | 97910 04050 | 95000 88927 | ​info@uniqtechnologies.co.in
www.uniqtechnologies.co.in

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