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103418
VIDYASAGAR UNIVERSITY
Application Form for preparation of Identity-cum-Library Card
Category Student
Dept. / Course M.A. in HINDI
Date of Admission / Joining 23/11/2021
Roll No 33
Date of Birth 13/06/1999
Gender Male
Caste / Category General
Address 51/9 KUMAR PARA LANE , LILUAH; LILUAH; HOWRAH; 711204;
Central Library Copy

Name ROSHAN KUMAR JHA
Email roshanjha1301@gmail.com
Mobile No 6290640716

ID Allocated : _ _ _ _ _ _ _ _ _ _ _ _


Valid Up to : _ _ _/ _ _ _/20 _ _ _


Signature of the Applicant with Date




Forwarded by
Secretary, PG Studies / HOD / TIC / Director-CCAE / NSQF Nodal Officer with Seal