prospectus download - Uckkr.org
prospectus download - Uckkr.org
prospectus download - Uckkr.org
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
(ANNEXURE-III )<br />
UNIVERSITY COLLEGE, KURUKSHETRA<br />
National Service Scheme (N S S)<br />
Session 2014-15<br />
Note : WRITE ALL THE PARTICULARS IN CAPITAL LETTERS<br />
If you are willing to participate in NSS selflessly then submit this NSS joining form duly filled and signed<br />
in the NSS office latest by 18-08-2012.<br />
1. Name<br />
2. Father’s Name __________________________________________________<br />
3. Mother’s Name ___________________________________________________<br />
4. Date of Birth ________________________________________________<br />
Récent<br />
Photograph<br />
(To be pasted)<br />
5. Class__________________ Roll No.__________6. Category_______________<br />
( Gen. /Res. /SC / BC)<br />
7. University Regn. No. ______________________________________________<br />
8. Are you willing to donate blood If yes, mention blood group ____________________________________<br />
9. Special Hobbies _____________________________________________________________________<br />
10. Social Activities _____________________________________________________________________<br />
11. Hostel Address _____________________________________________________________________<br />
with Phone No.<br />
____________________________________________________________________<br />
13. Correspondence Address _______________________________________________________________<br />
with Phone No.<br />
________________________________________________________________<br />
14. Email Id<br />
_________________________________________________________________<br />
I declare that the above information is correct. I shall also abide by all the rules and shall participate in<br />
N.S.S. activities selflessly.<br />
Dated _____________________<br />
……..…………………………………………………..<br />
Recommendation of the Programme Officer N.S. S.<br />
---------------------------------<br />
Signature of the Volunteer<br />
39