ANNA UNIVERSITY, CHENNAI - 25

Knowledge Data Centre

DATA SHEET FOR STUDENT SMARTCARD

Name : PREETHA A

Reg.No/Appl.No : 3105313

Campus : UCE-ARNI

Gender : FEMALE

Degree : B.E

Department : Computer Science And Engineering

Blood Group : B+

Residential Address : 6b/2 Vada Mada Street Pallikonda Vellore Dt

Pincode : 635809

Mobile No : 9677344416

Emergency No : 9489837707

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Signature of Student

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Head of Department / Director of centre Dean Signature
(Signatrure with Seal) (Signatrure with Seal)

Only for Office use

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Smart card my be issued

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Dealing Hand Knowledge Data Centre

Telephone: 044 - 2235856 / 57

16/07/2016 22:09:17
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