B-CERTIFICATE REGISTRATION FORM
Only for eligible volunteers
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
BRANCH
*
CSE
MECH
CIVIL
IT
ETC
EE
EEE
Other
SEMESTER
*
2
4
6
8
blood group
O-
O+
B-
B+
A-
A+
AB-
AB+
Other
COLLEGE/ UNIVERSITY NAME
*
Total unit camp attended with name ?
*
Your experience as NSS Volunteer (brief)
*
Why do you think you are eligible for the B- Certificate Examination (mention your important activities and achievements )
*
Submit
Should be Empty: