Virtusa - B.Tech 2015
If you are meeting the criteria specified in the mail, fill the below columns accurately. For any column which is not applicable to you, you can write NA.
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Prefix *
Select Mr/Ms based on Gender
Surname *
First Name *
Middle Name *
Last Name
Roll No *
Full name as per the 10th Records *
ex: kanchu manju usha
Name of the college *
Full Name of the University *
College City *
Date of Birth *
DD/MM/YYYY
Age in Years *
write completed no.of years
Email ID *
Mobile Number *
B.TECH STREAM *
B.Tech I Yr / 1st Sem % *
B.Tech Sem 2-1  % *
B.Tech Sem 2.2 % *
B.Tech Sem 3.1% *
B.Tech Sem 3.2% *
B.Tech Aggregate%(Till 3.2) *
Not eligible if <70%
Inter / Dip / 12th Year of Passing *
Inter / Dip / 12th % *
Not eligible if <60%
Inter / Dip / 12th Stream *
Ex: MPC/Bi.PC/MEC
10th / SSC Year of Passing *
10th / SSC % *
Not eligible if <60%
Year Gap in your education *
Mention the no. of years
Reason for Gaps if any *
Put "NA" if no gaps
Remarks / Comments
Home town State
Please elaborate state name
District of home town
Permanent Address
Present Address
Did you attended Virtusa recently if so mention the date if no mention na *
no or mm/dd/yyyy
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