IITD Tamil Mandram Farewell Survey

[arun1...@gmail.com]

Kindly take a few minutes to complete the survey. This is needed to gather important information needed for conducting the farewell this year.

If you have trouble viewing or submitting this form, you can fill it out online:
https://docs.google.com/forms/d/11O568gMNBKRgyAMAV9nQt1SDeLfYjZQQTBDW7ESABIY/viewform

IITD Tamil Mandram Farewell Survey

A survey to find out the relevant information for the conduct of the IITD Tamil Mandram Farewell (20/04/2014)

Name *
Please enter your full name
Entry Number
Enter your IITD entry number
Category *
B Tech / M Tech / Ph D / others
• B Tech
• M Tech
• Ph D
• Other:
email id *
Enter your email address
Mobile number *
Enter your permanent mobile phone number
Address *
Enter your address / hostel name
Will you be continuing in IITD for atleast 6 more months? *
Those who'll be leaving IITD in a few months should check the 'No' option
• Yes
• No
Food preference *
• Vegetarian
• Non-vegetarian

Never submit passwords through Google Forms.

Powered by

This content is neither created nor endorsed by Google.
Report Abuse - Terms of Service - Additional Terms