Pinnacle Infotech Solutions

IT-A-016-E Mahindra World City

Jaipur
Rajasthan

Name:

Date of Birth: __________________________________ Gender: ____________________

DD/MM/YYYY
Permanent Correspondence Address:

Contact Number: ___________ /____________

Emergency Contact Number: _______________________

Email ID: ________________________________________________________________________________

Educational Qualification:
Stream Year of Percentage
Sl. No Name of Institution / College Board/University
Passing (%)

X11

Diploma

B.Tech/B
.Arch

Details of Computer Hardware / Software Courses done:

Sl.No Name of Course Institute From (Date) To (Date)

Family Details:

Relationship Name Occupation Annual Income(In

Rs)

Approve by (CE) Issued by (MR) Page No. : 1

Issue No: 01 Date: 01.02.2007 Current Revision No. : 2.00 Date: 01.01.15
 Pinnacle Infotech Solutions
IT-A-016-E Mahindra World City
Jaipur
Rajasthan

Father

Mother

Siblings

Mention your Strengths and Weaknesses

STRENGTHS

WEAKNESSES

Write a brief description about yourself.

Internship project details – roles and responsibilities:

What are your Hobbies/ interests?

Have you considered starting your own business in near future?

What additional course/s you would like to do for your career development and when?

Describe your ideal company, location and job.

Approve by (CE) Issued by (MR) Page No. : 2

Issue No: 01 Date: 01.02.2007 Current Revision No. : 2.00 Date: 01.01.15
 Pinnacle Infotech Solutions
IT-A-016-E Mahindra World City
Jaipur
Rajasthan

What are your career options right now?

Appeared in GATE: Date < > GATE Score: < >

Why are you preparing for GATE: Tick any option below:

1. Planning for higher Studies 2. Planning for Govt. Job 3. Better prospects in the company

Passport Number:

Pan Card Number:

Aadhar Card Number:

Date Signature

Approve by (CE) Issued by (MR) Page No. : 3

Issue No: 01 Date: 01.02.2007 Current Revision No. : 2.00 Date: 01.01.15