Government Polytechnic BHUJ 370001
Student Data for Placement 2021
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Branch *
Regular/ C to D Admission *
Enrollment Number *
Name ( Please Write your name in Capital letters ) *
Father's/ Husband's Name ( Please Write name in Capital letters ) *
Surname ( Please Write name in Capital letters ) *
Caste *
Are you physically handicapped (Divyang) ? *
Contact Number *
Whats app Number
E Mail ID *
Date of Birth (Please write date according to format) *
MM
/
DD
/
YYYY
Birth Place *
City/Village *
District *
State *
PIN *
Full Postal Address *
Gender *
S. S. C. Percentage/Grade *
H. S.C. Percentage/Grade (If you have passed)
Semester 1 SPI *
Semester 2 SPI *
Semester 3 SPI *
Semester 4 SPI *
Semester 5 SPI *
Semester 6 SPI
Do you have any backlog ? *
Please mention the name of subject in which you have backlog
CGPA
CPI
Your Height (Please write in Centimeter with one decimal) *
Your Weight (Please write in Kilogram) *
Do you have eye power ? If Yes then write with positive or Negative number
After completing diploma What do you want to do ? *
If Self employee or others then describe in few word
Do you want to go abroad (Out of Country) ? *
Do you want to perform job away from home (Out of taluka or district) ? *
Any Suggestion if you want to give.
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