SHREE RAM MULKH GROUP OF PROFESSIONAL INSTITUTIONS

Affiliated with Kurukshetra University, Kurukshetra & Approved by AICTE

Village Khora Bhura, Tehsil Naraingarh, Distt. Ambala (Haryana)

STUDENT INFORMATION FORM

Paste your
Name : _________________________________________________________ Passport size
Father’s Name : _________________________________________________________ photograph here
Address : _________________________________________________________
Mobile Number : _________________________________________________________
E Mail Address : _________________________________________________________
Gender : Male Female Age : _________________________
Current Degree : __________________________________________________________

ACADEMICS
YEAR
%AGE
OF
STANDARD BOARD / INSTITUTION SUBJECTS OF
PASSI
MARKS
NG
10th
12th
B.Tech
Sem 1
Sem 2
Sem 3
Sem 4
Sem 5
Sem 6
Aggregate Till
Date

TRAINING & PROJECTS

DURATI ORGANIZATION AREA OF STUDY / LEARNINIGS PROJECT
ON
2
Months

CERTIFICATES / APPRECIATIONS (If any)

CERTIFICATION

SKILL SET
Date : Signature :