PLACEMENT REGISTRATION FORM - 2018-19
REGISTERED NUMBER *
Your answer
NAME *
TYPE YOUR NAME AS IT APPEARS ON THE SSC CERTIFICATE
Your answer
ADHAAR NUMBER *
Your answer
GENDER *
FATHER'S NAME *
Your answer
FATHER'S OCCUPATION *
FATHER'S ANNUAL INCOME *
Your answer
MOTHER'S NAME *
Your answer
MOTHER'S OCCUPATION *
MOTHER'S ANNUAL INCOME *
Your answer
ADDRESS *
Your answer
FATHER'S PHONE NUMBER *
Your answer
MOTHER'S PHONE NUMBER
Your answer
COURSE *
BRANCH *
DATE OF BIRTH *
YOUR DATE OF BIRTH AS IT APPEARS ON THE SSC CERTIFICATE
MM
/
DD
/
YYYY
CATEGORY *
ADMISSION EXAM *
RANK *
MENTION THE RANK YOU OBTAINED IN THE QUALIFYING EXAM YOU MENTIONED ABOVE
Your answer
PERSONAL PHONE NUMBER *
MENTION YOUR PERSONAL PHONE NUMBER
Your answer
EMAIL ID *
Your answer
CLASS 10 BOARD *
SCHOOL NAME *
MENTION THE NAME OF THE SCHOOL, PLACE AND DISTRICT WHERE YOU STUDIED 10TH CLASS
Your answer
SCHOOL % *
MENTION ONLY PERCENTAGE OF MARKS YOU OBTAINED. CONVERT YOUR CGPA INTO PERCENTAGE
Your answer
HIGHER SECONDARY BOARD *
INTERMEDIATE/DIPLOMA/+2 INSTITUTION *
MENTIONTHE NAME OF THE COLLEGE WHERE YOU STUDIED INTERMEDIATE/DIPLOMA/CBSE/ICSE
Your answer
% OF MARKS IN INTERMEDIATE/DIPLOMA/ +2 *
MENTION % OF MARKS SCORED IN IPE/DIPLOMA/CBSE/ICSE
Your answer
UG COLLEGE *
Your answer
UG UNIVERSITY *
Your answer
UG COURSE STUDIED *
UG % *
Your answer
PLACEMENT REQUIRED *
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms