CANDIDATE INFORMATION FORM & HALL TICKET

P"siti"n 5 T.ain!! S"#t,a.! D!F!&":!.

HALL TICKET NO
NVL E NINE0*129 E NCR 0BTECH0MCA

POOLED CAMPUS HOST INSTITUTE (VENUE)

G.L.Bajaj Instit t! "# T!$%n"&"'( & Mana'!)!nt (GLBITM) P&"t N". *+ Kn",&!-'! Pa./ III+ G.!at!. N"i-a+ Distt. G.B.Na'a.+ U.P. In-ia Pin0*12314 C"nta$t N"5 12*10*3*3626

S!&!$ti"n P."$!ss5 (a) Registration Process (b) Written Test (Aptitude / Technical) (c) Technical Interview (d) HR Interview Dat!5 *7t% 8an a.( *129. (Sat .-a() R!:".tin' Ti)!5 1;531 AM Please note that the Candidate In or!ation "or! # Hall Tic$et% has & page(s)' Candidates have to bring the hall tic$et in the e(act or!at as provided b) *icco +entures with all the page(s)' Hall Tic$ets in di erent or!ats will strictl) not be ac$nowledged # accepted during the recruit!ent process'

Please affix your passport sized photograph with signature. Signature should start outside the photograph & end within the photograph without which the hall ticket will be considered as invalid.

CANDIDATE NAME ("IR,T *A-.) DATE OF BIRTH (//1--12222) CONTACT PH. NO. (With ,T/) ADDRESS B.TECH <MCA INSTITUTE =TH STANDARD (>) B.TECH<MCA SEMESTER @ISE BREAK0UP B.TECH<MCA PERCENTAGE (>) SEMESTER @ISE BACK LOG SEMESTER @ISE BREAK UP (?<N) B.TECH<MCA STREAM B.TECH<MCA UNIVERSIT?
Declarations:

(-I//0. *A-.) GENDER (M<F) CONTACT MOBILE NO.

(0A,T *A-.)

?EAR OF PASSING 2ST SEM *ND SEM

=IITH STANDARD (>) 3RD SEM 9TH SEM

?EAR OF PASSING 7TH SEM 4TH SEM ATH SEM

BACK LOG (?<N)

ENGG PERCENTAGE < MCA (>) B As "n -at!C

I hereby declare that the foregoing information are correct and complete to the best of my knowledge and belief and nothing has been concealed. If at any time, i am found to have concealed any material information or given any false details about myself, i understand that my appointment shall be liable to summary termination without any notice or compensation thereof to me. ------------------------------------------------Signature of the candidate: Instructions: Candidates are requested to make 2 copies of the Candidate Information Form & Hall Ticket and complete both the copies with all relevant details & photo raph! "lease submit one cop# of this form dul# filled in durin the re istration process! The other cop# of Hall Ticket will be collected durin the written test or interview process Candidates are requested to carr# the $alid Identification%Colle e I& 'which has photo raph( for Identit# proof! "lease note that failure to brin the identification with photo raph & the form dul# filled in would disqualif# them from appearin for the selection process! "lease read the compan# profile) vacanc# details & instructions thorou hl# in the ne*t pa es! Date:

Official Seal Signature Of !uthority "erifying the Information above On behalf of the institute

Si'nat .! O# T%! A t%".it( "n D!%a&# "# t%! instit t! ,it% s!a&+ na)! & -!si'nati"n

DISCLAIMER E NICCO VENTURES w *ICC3 +.*T4R., does not co!!it or guarantee an) 5ob to an) candidate o the institute while per or!ing its responsibilities within the scope o the wor$ in this initiative' w The "inal recruit!ent will be carried out through b) the corporate depending / !atching with their satis action # e(pectation with the candidate' w *ICC3 +.*T4R., (at an) stage) in no wa) will in luence/inter ere or pla) an) role in the recruit!ent / selection process o the corporate/e!plo)er' w *ICC3 +.*T4R., does not co!!it an) vacanc) in an) or! ro! an) particular co!pan) or organi6ation under this initiative' w The selected candidates will not have to pa) an) ees or a!ount to an) part) concerned in this recruit!ent drive' w I a candidate is o ered ro! this recruit!ent drive under this initiative (also when the candidates accepts the o er)7 the candidate will not be entitled to appear or an) other recruit!ent process as organi6ed b) *ICC3 +.*T4R., in ter!s o P0AC.-.*T (CA-P4,) ,4PP3RT I*ITIATI+.' w *ICC3 +entures will not be responsible or an) change !ade b) the recruiting organi6ation in ter!s o recruit!ent o er or 5oining status at a later stage'

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