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28th ALL KERALA INTERMEDICOS FESTIVAL
THIRUVANANTHAPURAM
DEC 2-8
NAME OF THE PARTICIPANT
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AFFIX PHOTOGRAPH
PARTICIPATING ITEM
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ATTESTED BY THE
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PRINCIPAL
------------------------------------------------------------------------------------------------------------------------COLLEGE ID No.
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NAME OF THE COLLEGE
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ADDRESS OF PARTICIPANT
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SIGNATURE
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COLLEGE SEAL
Signature of Principal
Signature of Arts Club Secretary
Place:
Date:
* Only the UG students and House surgeons of 2009 Admission Batch can participate in the event
* The scanned copy of the duly filled registration forms have to be emailed to the convener of GENESIS ’14.
* The original form and the original college ID card should be submitted at the time of registration
* Each participant should bring 2 extra photographs along with the registration form
* Further announcements will be through our website, genesis14.com
Email – [email protected]
Abin A J
Program Convener
9567218788
Naveen R
Registration convener
9447020314