National Institute of Technology Calicut
NIT Campus (P O), Calicut- 673 601, India
NEW STUDENT CLUB - APPLICATION FORM
1. Name of the Club :
2. Constitution (Vision, Mission and mandate) :
(Attach as separate sheet)
3. Details of the Events planned :
(For the current academic year)
4. Eligibility required for the club members (if any) :
5. Details of the members:
1. Name: …………………………. Roll No ……………………… Email/Mobile No………………...…
(Attach the details of the members in a separate sheet)
I, the Designated Representative have read and understand the policies and guidelines
outlined in the student club handbook. I agree that our club will abide by these policies and
guidelines.
Signature of the Student Co-ordinator:
Signature of the Faculty Co-ordinator:
Dean (SW):
Director: Approved/Rejected