PLACEMENT FORM
Last Date of Registration: 8th April' 2018.
(Registration Link will automatically close on 8th April' 2018, Sharp 11:00 AM).

If you face any problem while registration kindly contact on below-stated number.
Mob: 8894317628

Email address *
Name of the Student *
Father's Name *
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Name of College/University *
University Roll No. *
Course *
Phone Number for (WhatsApp) *
Phone Number of (Parents) *
Address for Correspondence *
Education Details
10th Board/University *
% in 10th (Only in %) *
10th Passing Year *
12th Board/University
% in 12th (Only in %)
12th Passing Year
Polytechnic Board/University
% in Polytechnic
Polytechnic Passing Year
Only for Post Graduation Students
Graduation, Name of College/University
Only for Post-Graduation Students
% in Graduation
Only for Post-Graduation Students
Graduation Passing Year
Only for Post-Graduation Students
Pursuing Course Details
(B.Tech, MBA, MCA, B.Pharma, M.Sc., BHM etc.)
CGPA in 1st Sem
CGPA in 2nd Sem
CGPA in 3rd Sem
CGPA in 4thSem
CGPA in 5th Sem
CGPA in 6th Sem
CGPA in 7th Sem
% till last semester *
(Only in %)
Total No. of backlogs
Official use only
Registration No.
Name of Student *
Course *
Branch *
University Roll Number *
Mobile Number *
Summer Project (If any) Project Training after 1st Year
Summer Project (If any)
Project Training after 2nd Year
Certificates (If Any)
Languages
OEM Certificaion
Name of the Company
Duration of Training
Any other
Any other Extra Curricular activities:
For MBA
Specialization (choose any two)
MBA (Summer Internship, Company Name)
MBA (Name of Training Manager)
MBA (Contact Number of Training Manager)
Training Field
Participation Consent *
Declaration *
Required
Signature of the Student
Signature of Placement Officer
Signature of Head Training & Placement
A copy of your responses will be emailed to the address you provided.
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