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PERSONAL DETAILS FORM

(PLEASE USE CAPITAL LETTERS ONLY)

Date Gender (M/F)

College Name Degree


Date of Birth Affix Recent Passport
Marital Status Size Colored
(dd/mm/yyyy)
Photograph

(First Name) (Middle Name) (Last Name)


(Mention the name printed on your Aadhaar Card / Class 10th Mark sheet in case Aadhaar is not available )

Present Address Permanent Address

Flat No./
Street No.

City/Town:

Pin Code:

State:

Mobile No. Personal - Emergency-


Landline No.
Email:
Do you hold a (Yes/No, Give Details)
valid Passport
Father’s Name & Occupation

Mother’s Name & Occupation

No. Profession No. Profession


Details of Siblings
(mention numbers & profession) eB* yB*
eB*= Elder Brother yB* = Younger Brother
eS*= Elder Sister yS*= Younger Sister
eS* yS*

1.
Hobbies/ Interest
2.

1.
Personal Strengths
2.

Personal Areas of Improvement

Achievements/ Scholarship/ Prizes


Medium Board / Gap In Weightage
Passing %age/ (To be filled
Qualification (Eng./Hindi University Yrs. (with Remarks
Year CGPA
/Other) (Pls specify) reason) by CRT)

Xth Rank in school:

XIIth Rank in school:

Name of Entrance Exam


BE/ B.TECH
Qualified (Pls specify)-

AIEEE/JEE Rank:
B.SC/ BCA Any other Rank:

Name of Entrance Exam


Qualified (Pls specify)-
MCA/ ME/ M.TECH
Rank in Entrance:
Rank in class(Last sem):

Total Sectional Weighted Points Maximum Sectional Weighted Points 9

DISSERTATION/PROJECT WORK:
Title: Year:

Project Description:

Why do you want to work with Newgen?

I certify that the above information provided about self and qualifications are true, complete and correct to the best of my knowledge.
I understand that any material misrepresentation or omission made herein, renders me liable to termination / dismissal of my services
from Newgen Software Technologies Ltd, at any point of time.

Signature

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