You are on page 1of 4

1

NAME OF COMPANY
BRANCH / SPECIALISATION
(UG / PG)
THAPAR UNIVERSITY, PATIALA
(Formerly known as Thapar Institute of Engg. & Tech.)
(Established under section 3 of !" #ct, $%&' (ide notification ) F*$+,-.-.3 of !o(ernment of
India)
NAME :
BRANCH :
ROLL NO. : YEAR OF PASSING OUT:
CENTRE FOR INDUSTRIAL LIAISON & PLACEMENT (CILP)
INDUSTRIAL COORDINATOR
Phone : (0175) !"!005,!"!00, F#$: (0175) !"!005, !%&&"'
E-(#)* : +# , #-h . / 0 #hoo1 2 o1 )n , h . +# , # / 3 )e3 .# 2 . )n
PERSONAL DATA FORM
(P*e#.e 4)** 3he 4o5( )n BLOC6 LETTERS )n 0o75 o,n h#n8)
F7** N#(e )n B*o29 Le33e5.
:#3e o4 B)53h
A;e
C)3)<en.h)=
Gen8e5
Co55e.=on8en2e A885e..
Te*e=hone N7(+e5.
Pe5(#nen3 A885e..
Te*e=hone N7(+e5. E-(#)*
I: F#3he5>./G7#58)#n>.
N#(e
? O227=#3)on
Mo3he5>. N#(e
? O227=#3)on
L#n;7#;e
P E R S ON A L I N F O R M A T I ON

M#*e/Fe(#*e
P#.3e Yo75 Re2en3
P#..=o53 S)<e
Pho3o;5#=h

C)30 P)n S3#3e


C)30 P)n S3#3e

/

Un8e5.3#n8 ( / @) S=e#9 ( / @) Re#8 ( / @) A5)3e ( / @)
2
ACADEMIC RECORD:
3
E$#()n#3)on
P#..e8
Un)B1/Bo#58 Ye#5 o4
P#..)n;
M#$)(7(
M#59.
M#59.
O+3#)ne8
C#;e :)B).)on
C*#.. @
C*#.. @II
:)=*o(#
BACHELOR OF ENGINEERING (BE/B.TECH) GRADUATION:
E$#()n#3)on
P#..e8
Un)B1/Bo#58 Ye#5 o4
P#..)n;
M#$)(7(
M#59./CGPA
M#59./CGPA
O+3#)ne8
CGPA/
C#;e
:)B).)on
1.3 Se(e.3e5
n8 Se(e.3e5
!58 Se(e.3e5
&3h Se(e.3e5
53h Se(e.3e5
%3h Se(e.3e5
73h Se(e.3e5
'3h Se(e.3e5
MASTER OF ENGINEERING (ME/M.TECH/MCA/M.S!.):
E$#()n#3)on
P#..e8
Un)B1/Bo#58 Ye#5 o4
P#..)n;
M#$)(7(
M#59./CGPA
M#59./CGPA
O+3#)ne8
CGPA/
C#;e
:)B).)on
1.3 Se(e.3e5
n8 Se(e.3e5
!58 Se(e.3e5
&3h Se(e.3e5
53h Se(e.3e5
%3h Se(e.3e5
L#3e.3 CGPA 3)** *#.3 5e.7*3
8e2*#5e8
B1E/B.TECH
M1E/M.TECH/MCA/M1S21
ACADEMIC ACHIEVEMENTS:
SUMMER TRAINING/ PRO"ECT SEMESTER UNDERTA#EN:
E$TRA CURRICULAR ACTIVITIES:
OTHER INFORMATION:
I he5e+0 8e2*#5e 3h#3 3he =#53)27*#5. ;)Ben he5e)n #5e 357e #n8 2o(=*e3e 3o 3he +e.3 o4
(0 9no,*e8;e #n8 +e*)e4.
/lace0
1ate0
2ignature

You might also like