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SRI CHANDRASEKHARENDRA SARASWATHI VISWA MAHAVIDYALAYA

(University u/s 3 of UGC Act 1956)


Enathur, Kanchipuram, Tamilnadu - 631561
STAFF ID CARD REQUEST FORM
Co-ordinator: Mr. N. Manivannan, EEE Dept, Admin Block

Note: 1. Submit the filled in form to ID Card Co-ordinator with HOD’s approval.

Staff Name
Father’s Name
Door. No & Street

Area
Address
City / District

State with Pincode

Date of Birth
Blood Group
Library No/ Emp.No
Staff Mobile No.
Emergency Mobile No.
Desigation / Dept
Regular / Contract
Signature of the Staff HOD’S Signature Signature of the Dean

NOTE:

FOR OFFICE USE


ID Request No Amount Paid ID Card Received

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