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IITGN - Application Form
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* Indicates required question
Position
*
Counselor
Student Activity Coordinator
First Name
*
Your answer
Middle Name
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Last Name
*
(Type first name if there is no last name)
Your answer
Contact Details - Present Address
Line 1
*
Your answer
Line 2
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Locality
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City/Town
*
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District
*
Your answer
State
*
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PIN Code
*
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Phone Number
*
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Alternative Phone Number
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Email ID
*
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Confirm Email ID
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Enter your email ID here
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Alternative Email ID
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Skype ID
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Personal Details
Date of Birth
*
MM
/
DD
/
YYYY
Gender
*
Female
Male
Nationality
*
Choose
Indian
Others
Details of Examinations (1)
Class XII/Diploma (You can fill either Percentage or CGPA/CPI as in the case may be)
Exam
Class XII
Diploma
Clear selection
Board
Your answer
Year of Passing
Your answer
Percentage
Your answer
CGPA/CPI
Out of 10
Your answer
Class
First
Second
Third
Clear selection
Details of Examinations (2)
UG (You can fill either Percentage or CGPA/CPI as in the case may be. The students in final year of their UG programmes must enter the information at the end of the pre-final year.)
Exam (UG)
B.Tech.
B.E.
B.Sc.
B.A.
B.Com.
BBA
BCA
B. Pharm.
Others (If selected please specify)
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Exam (If other than listed)
Your answer
Specialization (UG)
Your answer
University/Institute (UG)
Your answer
Year of Passing (UG)
Your answer
Percentage of Marks (UG)
Your answer
CGPA/CPI (UG)
(Out of 10)
Your answer
Class (UG)
First
Second
Third
Clear selection
Details of Examinations (3)
PG (You can fill either Percentage or CGPA/CPI as in the case may be. The students in final year of their PG programmes must enter the information at the end of the pre-final year)
Exam (PG)
M.Tech.
M.E.
M.Sc.
M.A.
M.Com.
MBA
MCA
M. Pharm.
Others (If selected please specify)
Clear selection
Exam [PG (If other than listed)]
Your answer
Specialization (PG)
Your answer
University/Institute (PG)
Your answer
Year of Passing (PG)
Your answer
Percentage of Marks (PG)
Your answer
CGPA/CPI (PG)
(Out of 10)
Your answer
Class (PG)
First
Second
Third
Clear selection
Details of Examinations (4)
Others (You can fill either Percentage or CGPA/CPI as in the case may be)
Exam (Others)
Your answer
Specialization (Others)
Your answer
University/Institute (Others)
Your answer
Year of Passing (Others)
Your answer
Percentage of Marks (Others)
Your answer
CGPA/CPI (Others)
(Out of 10)
Your answer
Class (Others)
First
Second
Third
Clear selection
Employment History
Details of current employment/project
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Details of past employment/project (1)
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Details of past employment/project (2)
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Details of past employment/project (3)
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Statement of Purpose
*
Please state your reasons for applying for this post, any innovative initiatives you want to propose etc. (Less than 500 words)
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