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Placement Application Form: 2013-14

Student Enrollment No *
Example - 2012041007100XX
Specialization *
• Marketing
• Finance
• Human Resource
Full Name *
Example- Amit Rajeshbhai Patel
Your Mobile No. *
Example- 99888 77666
Landline No.
Example- 0261 233344
Name of father or guardian *
Example- Rajeshbahi Manaharbhai Patel
Contact No. of father or guardian
Example- 88777 66655
Profession of father / guardian *
Example- Branch Manager - LIC Navsari
Complete Address of residence
Are you interested in availing placement facility of the institute? *
• Yes
• No
If No, kindly state the reason
Example- Going abroad / Marriage / Family Business / New Business / Got a job / any other
If YES, kindly state name atleast 5 industries / sectors as per priority where you would like to work
Example- Banking, Insurance, Automobiles, IT, Stock broaking
Are you ready to work at a place other than your hometown? *
• Yes
• No
If YES, (Tick mark as many as applicable) *
• Near about 25 km
• Near about 50 km
• Near about 75 km
• Near about 100 km
• Anywhere in Gujarat
• Anywhere in India
• Outside India

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