National Institute of Technology Warangal

(An Institute of National Importance)

Dear Student: The following data is required for the institute to apply for various rankings. We sincerely
request you to spare time and provide these information.

Please email this completed form to the following officers.

1. Dean- Planning & Development, Email: dean_pl@nitw.ac.in;
2. Deputy Registrar, Academic Section, Email:dr_acad@nitw.ac.in

Name: Mr/Ms.------------------------------- Roll No. --------------

Programme: B.Tech/M.Tech/M.Sc./MCA/MBA/ Ph.D

Mode of Admission: JEE/DASA/ICCR/Specify if other Nationality: Indian/_________

Email: Mobile:

1.Placement information: Have you registered in T&P? Yes/ No

Company name Job title Package (lakhs/annum) Tentative date of joining

2. Scores in competitive exams:

Exam GATE CAT GRE GMAT TOEFL Specify if other

Year appeared
Score/ Rank

3. Higher studies admission details:

Institute Department / Specialization Tentative date of joining

4.Internship/ fellowship/ training programs attended:

S. No. Name of the organisation Duration Title

1
2
5. Publications/ conference participations (if any):

S.No. Conference/ publication details(e.g. conference, place held, journal name volume, page number)
1
2

I declare that the furnished information is true and correct to my knowledge (Signature with date)
Please feel free to use the backside of the form for any other or detailed information