ALUMNI FEEDBACK FORM

(Sikkim Manipal University Pusa Road)

Roll no:

Date:

First Name:
Last Name:
Email ID:
Course:

Specialisation:

Home
Address:

Pin:
Phones:
Office
Address:

Pin:
Designation:

Would you like to avail of placement services from SMU?

Yes

No

(Please fill the placement form if you have marked yes.)

Work experience:
Organisation

Job responsibility:

Designation/Post

Field

From

Till

Job responsibility:

Total number of years of experience:

Educational Qualifications: (10th onwards, include diploma and professional courses done if any)
Name of Examination

Year

School/College/Institute

University/Board

Technical Skills:

Preferred job location: (Tick all preferences)

Delhi only

East

West

North

South

NCR

Gurgaon

Faridabad

Gazhiabad

Noida

Minimum salary expected per annum:

Part Time

Full Time

Desired job profile, organisation and designation/post:

Resume enclosed:
Date of registration:

Yes

No

Affix your visiting card below (if any)

__________________
Signature of Applicant

__________________________
Signature of Placement Incharge

(I have read and accepted

the terms & conditions
indicated below)

Terms & Conditions

1.
2.
3.

The institute does not guarantee a job to the applicant. The institute will only arrange for interviews with various
organizations.
The institute is not responsible for any disputes that may arise between the applicant and any organization
where the applicant may join or go for interview.
The applicant will join any organization of his or her free will as per the terms and conditions stipulated by the
concerned organization.