BTL Institute of Technology & Management, Bangalore-99. "PLACEMENT CELL- Master Data Form"
2018 BATCH PASSING OUT CANDIDATES MASTER DATABASE
LAST DATE for Registration : 16-02-2018 by 5.00pm
( TYPE THE DETAILS IN BLOCK LETTERS)
Email address *
USN *
Name of the Candidate *
Branch *
Gender *
Date of Birth *
MM
/
DD
/
YYYY
SSLC / 10th % of Marks of Marks Obtained *
Year of Passing - SSLC / 10th *
Name of the Board - SSLC / 10th *
PUC /12th / Diploma % of Marks Obtained *
Year of Passing - PUC / 12th / Diploma *
Name of the Board - PUC / 12th / Diploma *
B.E. First Semester % of Marks Obtained ( Not for Diploma Based Candidates)
B.E. Second Semester % of Marks Obtained ( Not for Diploma Based Candidates)
B.E. Third Semester % of Marks Obtained *
B.E. Fourth Semester % of Marks Obtained *
B.E. Fifth Semester % of Marks Obtained *
B.E. Sixth Semester % of Marks Obtained *
Aggregate % of Marks in B.E(Upto Last Result) *
Active Back log (Nos.) in B.E if any. *
Contact No. *
Alternate eMail-ID
Place of Birth *
Address for Correspondence *
Category *
Religion *
Have you under gone the training program conducted by College? *
If yes, Name the Training Program *
If yes, Duration of the Training Prorgam
Any other Specialized Certificate Course(s) Under gone (if 'Yes' Name of the Cert.) *
Co-Curricular Activities
Extra Curricular Activities
A copy of your responses will be emailed to the address you provided.
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