Faculty/Dept.

/Institute

P
E
Name:
R
S Gender:
O
N
A DoB: Affix your
L
passport size
P Fathers Name: photograph here
R
O
F Nationality:
I
L
E Permanent Address:

Post-Graduation Details

Degree: Course Duration (yrs.):

College/Institution: Years (From To):

University (affiliated to): CGPA (Out of 10):

A
C Graduation Details
A
D
E Degree: Course Duration (yrs.):
M
I
C
College/Institution: Years (From To):

D University (affiliated to): Percentage (%):

E
T
A Higher Secondary School Details (Class XII)
I
L
S School: Year Passed:

Board (affiliated to): Percentage (%):

Senior Secondary School Details (Class X)

School: Year Passed:

Board (affiliated to): Percentage (%):

I
N
T Organisation: Duration (months):
E
R
N Profile: Months (From To):
S
H
I
Project: Year:
P

P Project Title Year

R
O
J
E
C
T
S
A
C
H
I
E
V
E
M
E
N
T
S

E
X
T
R
A

C
U
R
R
I
C
U
L
A
R
S

Languages Known

Technical Skills

S
K
I
L
L
S

Soft Skills

H
O
B
B
I
E
S

I hereby declare, that all details furnished above are true to the best of my knowledge and belief.

Date:

Place: (Signature)