Student Application Form

PLACEMENT DRIVE 2019

Personal Details
Student Name *
Father's Name *
Mother's Name *
Date Of Birth *
Gender *
Institution Name *
Contact Details
Email-id  *
Mobile Number  *
Address for Communication
Address 1 *
City *
District *
State *
Pin Code *
School Educational Details
ClassGroup Year of PassingMarks (%) Name and Location of the Institution 
SSLC *
HSC
College Educational Details of UG / PG
Name & Location of the InstitutionDegreeMonth & Year of CompletionTotal Marks (%) / CGPA 
UG
PG
Others
Declaration
I declare that all the above details are true to the best of my knowledge. I intend to attend the scheduled training classes and would participate in all the events conducted as part of the Training program.