You are on page 1of 3

Indian Institute of Technology(INDIAN SCHOOL OF MINES), DHANBAD- 826004

B.Tech (Name of the Branch)

PERSONAL INFORMATION

Name Admn. No.

Nationality
DoB Sex (M/F)

Email ID SKYPE ID

Mobile No. Category


(GEN/OBC/SC/ST/PH)

Contact Address, with Pin Code and Tel. Nos. Permanent Address, with Pin Code and Tel. Nos.(Parent)

PREVIOUS ACADEMIC RECORD

Examination Passed Board/University Year of Passing % of Marks

XII

CURRENT ACADEMIC RECORD

GPA OGPA
1st Sem 2nd Sem 3rd Sem 4th Sem 5th Sem 6th Sem 7th Sem 8th Sem Upto Last
Sem

RESUME

TRAINING / EXCURSION / INTERNSHIP

Place / Organization Visited Period Nature of Job


ANY OTHER INFORMATION

Signature of FIC (T&P) Signature of Student

You might also like