Registration Form:
Name
:
S/o,
D/o,
W/o
:
Date of Birth
:
MM
JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
NOV
DEC
DD
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
YYYY
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
Sex
:
Male
Female
Address
:
E-mail ID
:
Mobile number
:
Higest qualification
:
Branch
:
Select
IT
CSE
ECE
EEE
EIE
College Name
:
University
:
Blood Group
:
Technical Languages Known
:
% of marks scored in
:
SSC
Intermediate
higest qualification
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How you came to know about this program
Internet
Brochure
Friends
Others
Your suggestions on the5 program
:
Terms:
Candidate must submit permission letter from college, 2 passport size photographs and Resume.
Student has to posses 90% of attendence in training program.
Placement assistance will be given after the completion of the training program, if the student overall performance is 80% and above.
50% and above academic percentages are eligible for this training program.
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Accepting the above terms
:
Yes
No