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    Form Pec

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    Sarveshwaran Senthil Kumar
    The document appears to be an application for a cultural and sports competition taking place from February 4-7, 2020 at Pondicherry Engineering College. It includes forms for individual events, team events, general application, and an undertaking. The forms require information such as student name, date of birth, college, event name, and contact details. The undertaking confirms the student's voluntary participation and agreement to abide by rules.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Form Pec

    Uploaded by

    Sarveshwaran Senthil Kumar
    49 views4 pages
    The document appears to be an application for a cultural and sports competition taking place from February 4-7, 2020 at Pondicherry Engineering College. It includes forms for individual events, team events, general application, and an undertaking. The forms require information such as student name, date of birth, college, event name, and contact details. The undertaking confirms the student's voluntary participation and agreement to abide by rules.

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    form pec

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    The document appears to be an application for a cultural and sports competition taking place from February 4-7, 2020 at Pondicherry Engineering College. It includes forms for individual events, team events, general application, and an undertaking. The forms require information such as student name, date of birth, college, event name, and contact details. The undertaking confirms the student's voluntary participation and agreement to abide by rules.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    49 views4 pages

    Form Pec

    Uploaded by

    Sarveshwaran Senthil Kumar
    The document appears to be an application for a cultural and sports competition taking place from February 4-7, 2020 at Pondicherry Engineering College. It includes forms for individual events, team events, general application, and an undertaking. The forms require information such as student name, date of birth, college, event name, and contact details. The undertaking confirms the student's voluntary participation and agreement to abide by rules.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    You are on page 1of 4

    GOVERNMENT OF PUDUCHERRY

    PONDICHERRY ENGINEERING COLLEGE


    PILLAICHAVAY, PUDUCHERRY-605014
    PUDUCHERRY INTER COLLEGIATE CULTURAL AND SPORTS MEET 2020
    04-02-2020 T0 07-02-2020

    ENTRY FORM-INDIVIDUAL EVENTS

    NAME OF THE COLLEGE :


    FULL ADDRESS :

    OFFICE PHONE NUMBER :

    NAME OF FACULTY IN CHARGE :


    MOBILE NO. OF FACULTY IN CHARGE :
    EMAIL ID OF FACULTY IN CHARGE :

    SL. NAME OF THE EVENT NAME OF THE DOB COURSE CONTACT


    NO STUDENT NO.
    . /PARTICIPANT
    1 COLLAGE ART
    2 EXTEMPORE -
    ENGLISH
    3 EXTEMPORE -
    TAMIL
    4 INSTRUMENTAL
    MUSIC SOLO
    5 PHOTOGRAPHY
    6 POT PAINTING
    7 SINGING SOLO
    (CLASSICAL)
    8 SINGING SOLO
    (LIGHT)

    SIGNATURE OF FACULTY IN CHARGE (With seal) SIGNATURE OF PRINCIPAL ( With seal)

    OFFICE SEAL
    GOVERNMENT OF PUDUCHERRY
    PONDICHERRY ENGINEERING COLLEGE
    PILLAICHAVAY, PUDUCHERRY-605014
    PUDUCHERRY INTER COLLEGIATE CULTURAL AND SPORTS MEET 2020
    04-02-2020 T0 07-02-2020

    ENTRY FORM-TEAM EVENTS

    NAME OF THE COLLEGE :


    FULL ADDRESS :

    OFFICE PHONE NUMBER :

    NAME OF FACULTY IN CHARGE :


    MOBILE NO. OF FACULTY IN CHARGE :
    EMAIL ID OF FACULTY IN CHARGE :

    NAME OF THE EVENT :

    SL. NAME OF THE STUDENT DOB COURSE CONTACT


    NO /PARTICIPANT NO.
    .
    1
    2
    3
    4
    5
    6
    7
    8
    9
    10

    SIGNATURE OF FACULTY IN CHARGE(With seal)SIGNATURE OF PRINCIPAL ( With seal)

    OFFICE SEAL
    GOVERNMENT OF PUDUCHERRY
    PONDICHERRY ENGINEERING COLLEGE
    PILLAICHAVAY, PUDUCHERRY-605014
    PUDUCHERRY INTER COLLEGIATE CULTURAL AND SPORTS MEET 2020
    04-02-2020 T0 07-02-2020

    APPLICATION FORM

    Passport size photo


    attested by
    Principal

    NAME OF THE STUDENT:

    DATE OF BIRTH :

    COURSE:

    COLLEGE NAME :

    COLLEGE ADDDRESS :

    OFFICE PHONE NUMBER :

    RESIDENTIAL ADDRESS :

    NAME OF THE PARENT :

    STUDENT CONTACT NUMBER :

    PARENT CONTACT NUMBER :

    Signature of the Parent/Guardian Signature of the Participant


    GOVERNMENT OF PUDUCHERRY
    PONDICHERRY ENGINEERING COLLEGE
    PILLAICHAVAY, PUDUCHERRY-605014
    PUDUCHERRY INTER COLLEGIATE CULTURAL AND SPORTS MEET 2020
    04-02-2020 T0 07-02-2020

    UNDERTAKING FROM THE PARTICIPANT

    I, __________________________________________ aged ____ years,S/O or D/O


    _______________________________________ studying _____________________________________ in the
    College ____________________________________________ residing at
    _____________________________________________________________ do hereby undertake the following
    :

    I hereby declare that

    1. I, on my own wish intend to participate in the CULTURAL competition to be held in PONDICHERRY


    ENGINEERING COLLEGE,PILLAICHAVADY,PUDUCHERRY during 04-02-2020 to 07-02-2020.
    2. I have informed my parents about my participation in this competition and they have given their
    acceptance to participate.
    3. In case of any serious accidents and risk in participating in these competitions, the institution, officials
    or any other person are not responsible for such events that might occur during the competition. I
    am only responsible for those types of accidents and do not have privilege for any type of claim in this
    connection.
    4. I shall STRICTLY ABIDE BY THE RULES AND REGULATIONS AND WILL NOT INDULGE IN ANY UNFAIR
    MEANS AND WILL STRICTLY MAINTAIN DISCIPLINE DURING MY STAY IN PEC AND COMPETITION.
    5. I shall not involve in any unlawful activities individually or in a group.
    6. If I am found violating the above declaration or the information provided by me is found to be
    incorrect, my participation may be cancelled at any stage.

    Signature of the Parent/Guardian Signature of the Participant

    Signature of the Faculty In charge with seal Signature of the Principal with seal

    OFFICE SEAL

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