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Placement Application Form: 2015

*Required

Enrolment No. *
Example - 2013041007100XX
Date of Birth *
Example - 18 January 1990
Full Name *
Example- Amit Rajeshbhai Patel
Your Mobile No. *
Example- 99888 77666
Landline No.
Example- 0261 233344
Email ID *
Your working email ID only.
Gender *
• Male
• Female
Specialization *
• Marketing
• Finance
• Human Resource
• Not Applicable
Graduation *
Example - B.Com. / BBA / BCA / B.Sc. / BA
Graduation Percentage (%)
Example - 75.80 %
CGPA
Example - 7.50
HSC (12th) *
• Commerce
• Arts
• Science
• Vocational
HSC Percentage (%) *
Example - 65.30 %
SSC (10th) Percentage (%) *
Example - 65.30 %
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
City *
Where you live.
Are you interested in availing campus placement facility of the institute? *
• Yes
• No
Are you interested in signing bond with the company if it hires you? *
• Yes
• No
If yes, select the term *
• 1 year
• 2 years
• 3 years
• Not Interested
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
If YES, kindly state name atleast 5 companies as per priority where you would like to work
Example- Banking, Insurance, Automobiles, HCL, India Infoline Finance Ltd.
Are you ready to work at a place other than your hometown? *
• Yes
• No
If YES, (Tick mark as many as applicable) *
• Not 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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