2017 B-School Summer

Placement Application Form

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B SCHOOL NAME

Name of Applicant

First Name

Course
Specialization
College Roll No
Mobile Number
Permanent Number

Middle Name

Last Name

DOB (DD/MM/YYYY)
Gender
Current CGPA
College Email Id
Personal Email Id

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

S
No

Organiza
tion

Industry /
Domain

Start
Date
(MM/
YY)

End
Date
(MM/Y
Y)

No of
Months

Role

Supporting*
Documents

1
2
3
If you have been employed with Cognizant (permanent /internship), please mention
your Cognizant Employee Id:

EDUCATION BACKGROUND
Level

PG (pre
MBA)
UG
XII
X

Discipline

Year
of
Passi
ng

Institute

Board /
University

Marks
(%)/
CGPA

2017 B-School Summer

Placement Application Form
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WORK PREFERENCES
Note:
1. Location Preferences cannot be construed as a commitment

2. Your final allocation will be based on business demand

Location Preference (1 to 7)
Bangalore
Chennai
Mumbai

Coimbatore
Kolkata
Hyderabad
Pune

PLEASE MENTION CHRONOLOGICALLY (WITH MOST RECENT AS FIRST)

SIGNIFICANT ACHIEVEMENTS AND RECOGNITIONS RECEIVED AT STATE / REGION
/ NATIONAL / INTERNATIONAL LEVEL.

Statement of Purpose (250 Words)