SOUTH DELHI POLYTECHNIC FOR WOMEN
                                                    LOCAL GUARDIAN'S FORM

Name...................................................................................................................

Department.........................................................................................................

Vegetarian/Non-Vegetarian/Egg-vegetarian..................................................
Please stick one
photograph here
(do not staple it)

Mother's Name....................................................................................................

Address...............................................................................................................

Phone: .................................................................................................................
Please stick one
photograph here
(do not staple it)

Father's Name....................................................................................................

Address...............................................................................................................

Phone: ................................................................................................................
Please stick one
photograph here
(do not staple it)

LOCAL GUARDIAN

Guardian's Name...............................................................................................

Address...............................................................................................................

Phone: ................................................................................................................

Please stick one
photograph here
(do not staple it)

Guardian'sName.....................................................................................................

Address..................................................................................................................

Phone: ...................................................................................................................
Please stick one
photograph here
(do not staple it)

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