Please Fill This Form

Your Name :
Father’s Name :
Mother’s Name :
Date of Birth :
Local Address:
Permanent Address:

Phone No :

Mobile No :

E-mail ID
Experience if any may be added

Academic Record:-

Exam   Board/University year Division  Percentage

B.Tech Ist Sem
B.Tech IInd Sem
B.Tech IIIrd Sem
B.Tech IVth Sem
B.Tech Vth Sem
B.Tech VIth Sem
B.Tech VIIth Sem
B.Tech VIIIth Sem
B.Tech Agg%    

Branch :

No. of Backlog :

ID/Roll No. :

Batch :

Software Skills :


Extra Curricular Activities :
Achievement (if any) :
Preferred Sector (In Order of Preference) :
Upload Photograph

I certify that all the information given in the placement form is
true and to the best of my knowledge. I assure that I shall abide by all
 the rules and regulation of the Institute, which are in vogue as well
as which come into force later.