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Moe (mobile)
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460S06
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91114 SS I14
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Name
Nalure of Relationsbip
Date of Birth Occupation
BRO1HLP 2482003 LDUCATSO
PAJKUMP YODN FATHER 26|12 1946 WOR KCR
3 IYOTI1ADAU M0THCR
14/O6/196 4oUSE WIFC
VDUCAT1ONAL, JUSNTORY; Plense pive detaiis of your ncademic record, stariing with
Mamination/ ull Time/Insfitutiom / Universily class X, Indicate year by yenr perforance lor Grad/'G record
Degree Part Time YcA Main Subjects/ lectives % of Marks/ Rank
lromo
Full Timetk S SHGU 2094 204 Muby Sente
DIPLoMAfIl Time ATIVdha 2012 202 echanicalL G97
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Assignments
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PROJECTS|: & Scope of
INTERNSHIPPROJECT
|SUMMERAVINTER Full Time/ Nature
Period Timeunderlaken
/areas covered
Institute /Organization
From To Part
Remarks
Assignments
of Training,
Nature & Scope
ADDITIONALQUALIFICATION: Period Full Time/| undertaken /areas covered
Prizes/Positions/Distinction/Scholarships
Rev. No.:01
Page 2 of 4
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ABOUTYOURSELF:
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personal strengths and what are the arcas where
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your major interests in curricular/extra curricular field? How do you
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ruture
What are
your short term and long term career
shrt term Aoals- b et goals how and do you
plan achieve to them:
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DECLARATION:
declare that the above infomation is true. In case any information given above is found to be partially / completely incorrect, my appointment may be
cancelled/ withdrawn and my services terminated at any time.
Signature
Name
Designation
FINAL INTERVIEW (Function) (HR Department)
Signature
Name
Designation