Registration Form

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Session

First Name

Middle Name

Last Name

Gender

Male
Female

Father's Full Name

Mother's Full Name

Present Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Permanent Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Father Mobile No

Mother Mobile No

Father Email Id

Mother Email Id

Educational Details

10 Class %

Graduation %

Subject Details

Major-1

Minor

Vocational

12 Class %

Year of Passing

Student's Roll No.

Major-2

Open Elective

Project/Internship/Community Engag.

Bank Details

Bank Name

A/c. Number

IFSC Code

Employment/Pre-Placement

Are you interested in taking placement from college?

Woudl you like to go for an internship / part-time job in the first year itself?

Which type of company / sector will you like to join

Are you currently working, if yes please mention the name of the firm.

Would you be willing to relocate to other locations for work?

Are you engaged in any self/ family business ? if yes, Name the business.

Would you be comfortable with companies hiring for night

Do you wish to opt for in-house training from t&P cell?

Societies Details

Clubs & Societies

Literature Society
Culture Society
Welfare Society

Clubs & Societies

Arts Society
Care Society
Technical Society

Declaration

I hereby declare that i am interested in job placement/ internship and i will participate in the pre-placement trainging as and when planned by the training and placement cell.

Student's Signature

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