Sreenivasa Institute of Technology and Management Studies, Chittoor.
Placement Registration Form 2017 Batch
Full Name *
As per the SSC certificate
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First Name *
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Middle Name
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Last Name *
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University Registration Number *
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B.Tech. Branch/ MCA *
Date of Birth *
MM
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DD
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YYYY
SSC Percentage *
Do not use % symbol
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SSC - Year of Pass (Enter Year only)
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Intermediate/Diploma Percentage *
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UG Percentage for MCA Students *
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UG Specialization for MCA Students *
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UG Year of Pass (Enter Year only) for MCA Students
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Phone Number *
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e-mail Id *
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Permanent Address *
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Current Arrears *
Number of current arrears *
If exist enter the number or enter '0' (Zero)
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