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NSS Registration Form

Central University of South Bihar

NSS Registration No. : NSS/CUSB/2021-22/138

Naman KumarTo Whom It May Concern:Personal Details

Name of Candidate : Naman Kumar


Gender : Male
Paste your
DoB : 12/11/2003 recent passport size
AADHAR No. : 432722758940 photo here and sign at
Category : ST the bottom of the
page
E-Mail ID : prinnaman@gmail.com
Contact No. : 9801634611
Address : Boys hostel cusb
Physical Details

Height (in cm) : 170


Weight (in Kg) : 51
Blood Group : O+

Father/Guardian’s Details

Name : Kamaldeep sharma


Occupation : Businessman
Address : Madanpur kajra lakhisarai bihar 811309
Educational Details

CUSB Enrollment No. : Cusb2113125066


Department : Law & Governance
Batch/Session : 2021-26
Course/Semester : BA LLB/Sem-4
Emergency Contact : 919801634611

Declaration
I hereby affirm that as a volunteer of NSS CUSB unit (run by Government of India), I shall obey
all the NSS rules and regulations. I shall participate honestly in all the NSS Programme. In case of
any violation of any rule by me, the decision of the competent authority/NSS programme officer
shall be final.

Application Time and Date (2023/01/23 7:39:44 PM GMT+5:30) Naman Kumar

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