Data for Online Exam for Diploma (Six Semester 2020)
Roll Number *
Name of Student *
Date of Birth *
AADHAR Number *
Name of the Programme (Select from the list) Drop down *
Institute Email ID *
Alternate Email ID *
Mobile Number (Main and alternate) *
Parent Mobile Number *
Present Location (Give Detailed Address with Taluka, Dist and Pin-code) *
Availability of Internet Facility (Yes / No) *
Required
Details of Internet Facility, if available. Select any one below *
Required
Are you ready for online Examination? (Yes/No) *
Yes
No
Row 1
Are you comfortable with online Platform for examination (Yes /No) *
Select any one online Platform for examination *
System availability for online mode examination at your end *
Required
Do you have any issue related to connectivity at your location? If yes, please specify *
Name and address of the Nearest Polytechnic / Engineering College (Private /Government anyone) *
Distance (in Km) of Nearest Polytechnic /Engineering College form your present location *
Submit
Never submit passwords through Google Forms.
This form was created inside of Veermata Jijabai Technological Institute. Report Abuse