PLACEMENT CELL, AGPC, SIVAKASI
ENROLLMENT FORM FOR CURRENT FINAL YEAR STUDENTS 2017 - 2018 BATCH ONLY
Name of the student *
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Roll Number *
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Register number *
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Branch *
Gender *
Required
Date of Birth *
MM
/
DD
/
YYYY
Parent's Mobile number *
Your answer
Student's Mobile number *
Your answer
Email ID *
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Address for Communication *
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SSLC Mark with percentage *
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+2 Mark with Percentage
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Whether joined First year or Direct II year *
Required
I Semester percentage *
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II Semester percentage *
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III Semester percentage *
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IV Semester percentage *
Your answer
V Semester percentage
Your answer
Details of extra curricular activities *
(NSS, NCC, Clubs, Sports etc.,)
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Details of Co curricular activities *
Paper Presentation, Inter polytechnic Technical Quiz, Certificate courses through Con.Ed. Cell, etc.
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Opted for Job / Higher Studies *
Required
Passport Details *
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Aadhar Number *
Your answer
Area of Interest *
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