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PERIYAR UNIVERSITY ALUMNI ASSOCIATION (PUAA)
(Reg No : 142/2011)
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E-Mail ID
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Mobile Number
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University Register No. (OR) Employee ID No.
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Your answer
Name
*
Your answer
Name of Father / Mother / Guardian
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Your answer
Date of Birth
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DD
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YYYY
Age
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Sex
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Are you the Employee of Periyar University?
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If yes, Faculty (OR) Administrative Staff
Faculty
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Programme Studied
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UG
PG
M.Phil
Ph.D
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D.Litt
Programme Studied
(Example: B.A Tamil / M.Sc. Botany / M.Phil Commerce / Ph.D Mathematics/D.Sc./D.Litt...)
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Period of Study (Ex : 2020-2023)
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Present Address
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Permanent Address
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Have you Appeared for any Competitive Examination
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Qualification Acquired after Leaving Periyar University
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