Placement Registration form - T & P Cell MDITM

Mathuradevi
Group of Institutions

(A unit of Gyan Vigyan Krida Vikas Sansthan, Indore)

_________________________________________________

                                              (T & P Cell)                           Reg. NO.

Placement Registration form

Students Name______________________________________________________________

Gender (Male / Female)     Date of Birth (DD/MM/YYYY) ___________________________

Fathers Name______________________________________________________________

Address____________________________________________________________________

__________________________________________________________________________

College Name______________________________________________________________

Course (BE / MBA) _______________Branch _________________Current  SEM ______

Email_____________________________________________________________________

Mobile number _________________________________ (Telephone) _________________
Avg. Percentage of (BE or MBA) _______________________________________________

10^th (%) ______________(Board) _____________________________________________

12^th (%) ________________ (Board) ___________________________________________

% in each semester

Course (%) (BE or MBA)	1st SEM	2nd SEM	3rd SEM	4th SEM	5th SEM	6th SEM	7th SEM	8th SEM
__________

I hereby declare that the statement furnished above is true to the best of my Knowledge and belief.

Place   :

Date    :                                                                                                 (Student Signature)

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