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Membership Form

This document is a library registration application for Rushikesh Bansode, a student at S S T College of Arts & Commerce. It includes personal details such as his date of birth, email, address, and member status, which is currently inactive. The application also contains a declaration of the accuracy of the provided information.

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2 views1 page

Membership Form

This document is a library registration application for Rushikesh Bansode, a student at S S T College of Arts & Commerce. It includes personal details such as his date of birth, email, address, and member status, which is currently inactive. The application also contains a declaration of the accuracy of the provided information.

Uploaded by

rushikesh.contacts.108k
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

S S T College of Arts & Commerce

Ulhasnagar

LIBRARY REGISTRATION
Member Application
Name : Rushikesh Bansode

Member ID :

Email id : rstechgamer04@[Link]

Date of Birth : 04/04/2009

Gender Male

Institute : S S T College of Arts Science & commerce

Category : J R Students

Department : Jr. Science

Designation : 12 Sci

Fee Receipt Number : 43883

Fee Receipt Date : 14/05/2026

Permanent Address : GAIKWAD PADA ULHASNAGAR NEAR RADHA KRUSHNA SCHOOL , ULHASNAGAR , 421005

Present Address : GAIKWAD PADA ULHASNAGAR NEAR RADHA KRUSHNA SCHOOL , ULHASNAGAR , 421005

Mobile No. : 9807642777

Joining Year : 2026

Member Type : Students

Member Status : INACTIVE

I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief and I
undertake to inform you of any changes therein , immediately. In case any of the above information is found to be
false or untrue or misleading or misrepresenting, I am aware that I may be held liable for it.

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