2013 B-School Placement Application Form ---------------------------------------------------------------------------------------------------------------------------------------------------------------

B SCHOOL NAME
Name of Applicant Course Specialization College Roll No Mobile Number Permanent Number

:
First Name Middle Name DOB (DD/MM/YYYY) Gender Current CGPA College Email Id Personal Email Id Last Name

WORK EXPERIENCE (IF APPLICABLE). PLEASE DO LIST ALL ORGANISATIONS

S No Organization Industry / Domain Start Date (MM/ YY) End Date (MM/YY) No of Months Role

1 2 3
If you have been employed with Cognizant, please mention your Cognizant Employee Id:

EDUCATION BACKGROUND
Level Discipline Year of Passi ng Institute Board / University Marks (%)/ CGPA

PG (pre MBA) UG XII X PLEASE MENTION CHRONOLOGICALLY (WITH MOST RECENT AS FIRST) SIGNIFICANT ACHIEVEMENTS AND RECOGNITIONS RECEIVED AT STATE / REGION / NATIONAL / INTERNATIONAL LEVEL.

Statement of Purpose
Reflect on a time when you turned down an opportunity. What was the thought process behind your decision? Would you make the same decision today? (Max. 300 words)

2013 B-School Placement Application Form ---------------------------------------------------------------------------------------------------------------------------------------------------------------