registration-form

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मममvriti: COUNSELING AND WELLNESS CENTRE Faculty of Behavioral and Social Sciences Registration Form

Registration No.: Name: Age:

Gender:

Student/ Faculty or Staff/ Outside Manav Rachna Educational Institutions:

Course/ Designation, Department/ Professional Engagement:

Marital Status: Home Town: Address: Contact No.: Email Id: Family Member Contact No.: Friend Contact No.: Emergency Contact No. Reason for Visit:

Languages Known:


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