From : Mr./Ms.

Address :

Contact no. : (R)

(M)

Date of Application :

The Principal,

N.E.S. Ratnam College,

Bhandup (w),

Mumbai – 400 078.

Madam,

I lost my original Identity card / Library Card on

Kindly issue me a Duplicate Identity Card / Library Card .

My Details are as mentioned below

Surname

Name

Last Name

Class :

Div. :

Roll No.

Date of Birth

_________________
Yours Sincerly
Students Signature

Class In Charge Teacher's Remarks :	__________________ Teachers Signature
N.B. : 1) Student has to submit 1 stamp size photograph along this application for Duplicate ID Card 2) After filling up the details the form has to be sumited in the office for college seal 3) Library card has to be collected from the library after showing the receipt
Type the above number: