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Sl no. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 FIRST NAME MIDDLE NAME LAST NAME DATE OF BIRTH(DD-MM-YYRR) GENDER(M/F) UNIVERSITY REGISTRATION NUMBER STD CODE CONTACT PHONE NO MOBILE NO EMAIL ID 1 EMAIL ID 2 PHYSICAL DISABILITY(Y/N) .IF YES, GIVE DETAILS XTH STANDARD PRECENTAGE(OUT OF 900) () XTH STANDARD PRECENTAGE (OUT OF 800) AS PER MARKSHEET BOARD OF XTH STANDARD XTH STANDARD YEAR OF PASSING(YYYY) XII TH STANDARD PERCENTAGE (OUT OF 1200) XII TH STANDARD PERCENTAGE (OUT OF 1000) BOARD OF XIITH STANDARD F XIITH STANDARD XIITH STANDARD YEAR OF PASSING(YYYY) DIPLOMA()(STREAM) DIPLOMA PRECENTAGE DIPLOMA YEAR OF PASSING(YYYY) JEE BOARD JEE RANK GRADUATION PRECENTAGE(MCA) GRADUATION INSTITUTE(MCA) GRADUATION UNIVERSITY(MCA) UNIVERSITY OF BTECH INSTITUTE OF BTECH BTECH INSTITUTE LOCATION(NAME OF CITY/TOWN) BTECH INSTITUTE LOCATION(STATE) BTECH STREAM YEAR OF PASSING ADDRESS LINE 1 ADDRESS LINE 2 LINE 1 ADDRESS LINE31 LINE CITY STATE PINCODE ENGINEERING DEGREE(FULLTIME/PART TIME) DURATION OF COURSE( FROM YYYY TO YYYY) % SEM 1 % SEM2 % SEM3
36 37 38 39 40 41 42 43
44 45 46 47 48 49 50 51 52 53 54 55 56
% SEM4 %SEM5 %SEM6 % SEM AVERAGE UPTO SEM 6 AVERAGE GRADE POINT UPTO SEM 6 DID YOU HAVE ANY BACKLOG DURING ENGINEERING(Y/N) IF YES SUBJECT NAME 1 SUBJECT 1 : NO OF ATTEMPTS IF YES SUBJECT NAME 1 ME 2 SUBJECT 2 : NO. OF ATTEMPTS PERIOD OF GAP IN EDUCATION, IF ANY(YYYY-YYYY) REASONS FOR GAP IN EDUCATION IF EMPLOYED , MONTHS OF EXPERIENCE
Sl no. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 FIRST NAME MIDDLE NAME LAST NAME DATE OF BIRTH(DD-MM-YYRR) GENDER(M/F) UNIVERSITY REGISTRATION NUMBER STD CODE CONTACT PHONE NO MOBILE NO EMAIL ID 1 EMAIL ID 2 PHYSICAL DISABILITY(Y/N) .IF YES, GIVE DETAILS XTH STANDARD PRECENTAGE(OUT OF 900) () XTH STANDARD PRECENTAGE (OUT OF 800) AS PER MARKSHEET BOARD OF XTH STANDARD XTH STANDARD YEAR OF PASSING(YYYY) XII TH STANDARD PERCENTAGE (OUT OF 1200) XII TH STANDARD PERCENTAGE (OUT OF 1000) BOARD OF XIITH STANDARD F XIITH STANDARD XIITH STANDARD YEAR OF PASSING(YYYY) DIPLOMA()(STREAM) DIPLOMA PRECENTAGE DIPLOMA YEAR OF PASSING(YYYY) JEE BOARD JEE RANK GRADUATION PRECENTAGE(MCA) GRADUATION INSTITUTE(MCA) GRADUATION UNIVERSITY(MCA) UNIVERSITY OF BTECH INSTITUTE OF BTECH BTECH INSTITUTE LOCATION(NAME OF CITY/TOWN) BTECH INSTITUTE LOCATION(STATE) BTECH STREAM YEAR OF PASSING ADDRESS LINE 1 ADDRESS LINE 2 LINE 1 ADDRESS LINE31 LINE CITY STATE PINCODE ENGINEERING DEGREE(FULLTIME/PART TIME) DURATION OF COURSE( FROM YYYY TO YYYY) % SEM 1 % SEM2 % SEM3
36 37 38 39 40 41 42 43
44 45 46 47 48 49 50 51 52 53 54 55 56
% SEM4 %SEM5 %SEM6 % SEM AVERAGE UPTO SEM 6 AVERAGE GRADE POINT UPTO SEM 6 DID YOU HAVE ANY BACKLOG DURING ENGINEERING(Y/N) IF YES SUBJECT NAME 1 SUBJECT 1 : NO OF ATTEMPTS IF YES SUBJECT NAME 1 ME 2 SUBJECT 2 : NO. OF ATTEMPTS PERIOD OF GAP IN EDUCATION, IF ANY(YYYY-YYYY) REASONS FOR GAP IN EDUCATION IF EMPLOYED , MONTHS OF EXPERIENCE
