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Student Counselling Form
The information in this form is requested for record-keeping and statistical purpose, it will not be used in anyway that identifies individual.
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Name:
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Date of Birth:
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Gender:
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Qualification:
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Address:
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Mobile Number:
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Email Id:
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Your reason for approaching counselling service (upto 500 words):
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What have you done about your problem?
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Your expectation from us:
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Any other important information we should know
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Date of submission:
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