Date: __________ Choose two societies from the following: No. Society Names Members 1. Harmony Building Society 2. Sports Society 3. Human Wellbeing & Anti-Narcotics Society 4. Green & Clean Society 5. Debating & Literary Society 6. Character Building Society 7. Drama, Music & Festival Society 8. Art & Culture Heritage Society 9. Sociological Society Inclusivity & Sustainability 10. Media Club 11. Music Society 12. Painting Society 13. Student Society of psychology Students Details Student Name: _______________ Father Name: _________________ Address: ___________________________________________________________ Mobile No. - - Gmail ID: ______________________ Institutional Details Program Name: 1st Year 2nd Year BS MS PhD Department Name: ___________________________________________________ Student Roll No: _________________ Percentage/CGPA _____________ Student Signature: ____________________ Society Focal Person Signature: Director Student Affairs Signature _________________________ ___________________________