Spree Regst.

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Name : Category : UG STUDENT /PG / PHYSIOTHERAPIST/FACULTY Present address : Phone number: Email-address: Qualifications : College/institute: University : Accommodation needed : yes / no *If opting for accommodation please contact Mr/Ms. ABC at the following number. Food preference : Veg / non veg Mode of payment: DD/CASH (DD in favour of physiotherapy fund,SRMC, porur Chennai) DD no: Date: Form of Registration for SPREE PHOTOGRAPH

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spree

Transcript of Spree Regst.

PHOTOGRAPHPHOTOForm of Registration for SPREEName : Category : UG STUDENT /PG / PHYSIOTHERAPIST/FACULTY Present address :

Phone number: Email-address: Qualifications : College/institute:

University :

Accommodation needed : yes / no*If opting for accommodation please contact Mr/Ms. ABC at the following number. Food preference : Veg / non veg Mode of payment: DD/CASH (DD in favour of physiotherapy fund,SRMC, porur Chennai)DD no: Date: