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DECLARE YOUR COLLEGE RAGGING FREE

This information is strictly confidential. Please feel free to say the truth.
No other student or authority in your college will get to know what you have written in this form.

*Name of the College:

*State:

*Name of University:

*Name of the Student:

*Course of Study:

*Year of Study:

*Registration\Enrolment Number:

*E mail Address:

( please provide Your original ID that can be used to contact you )

*Confirm E mail Address:

*Mobile Phone Number:

(If you do not have your own mobile number please provide any other number that can be used to contact you)
STD

*Parent\Guardian telephone number :

  

*Name of your Principal\Director\Dean:

*How much ragging happens in your college:

Zero Mild Severe

Any comments or stories to share?:

*Would you like to be a member of the Aman movement:

Yes No

*Would you like to be a volunteer for the Aman movement:

Yes No

    
*Mandatory Field 
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