PLACEMENTS23 REGISTERATION FORM 2011-2012

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NAME *

Enter your full name

REG NUMBER *

Enter your university Reg .No

DATE OF BIRTH *

dd / mm / yyyy

GENDER *

Male

Female

EMAIL ADDRESS *

Please enter your valid email address

MOBILE NUMBER *

+91-986543210 enter10 digit mobile number

COLLEGE NAME *

Please mention your Full Name college Name

NAME OF THE UNIVERSITY *

enter full name of university

COURSE *

Name of current course eg: diplome computer science

10th STANDARD % *

+12th STANDARD *

if you have studied +2 ,enter your % else NIL

DIPLOMA *

if you have studied diploma,enter your % else NIL

UG % *

(upto current semester)

PG % *

(upto current semester) otherwise "NIL"

HISTORY OF ARREARS *

yes/no

NO OF BACKLOGS *

(upto current semester)

NAME OF THE COMPANY *

CONTACT ADDRESS *

Submit

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