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Indian Institute of Technology Guwahati

Guwahati - 781039

Form No. CERT/01 PROVISIONAL IDENTITY CARD

Valid up to : 25 May 2021

NAME RUSHI PANKADE

ROLL NO 200103093

BRANCH MECHANICAL

PROGRAMME BTech

DATE OF BIRTH 27-Jun-2002

BLOOD GROUP O+

EMERGENCY CONTACT NO 9404678928

Student's Signature Assistant Registrar (SA)


25 Feb 2021 200103093 25 Feb 2021

This card is generated electronically. No live signature is required. This ID card is not transferable, if found or in case of any information, please
contact Registrar, Indian Institute of Technology Guwahati, Guwahati - 781039, Assam. Phone No.: + 91-361-2582140, 2582020.

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