SHRI G.P.M.

DEGREE COLLEGE
(COMMITTED TO EXCELLENCE IN EDUCATION)
Rajarshi Shahu Maharaj Road, Telli Galli, Andheri (E), Mumbai - 69. Tel.: 26833455/26840822

Date: -____/____/______ Form No. ____________

TRAINING AND PLACEMENT CELL
Campus Selection Drive - 2023

REGISTRATION FORM
A. Personal Details of Applicant:

Name: _____________________________________________________________ Class: ______________ Div.: ______

Roll No.: ______ Contact No.: __________________________

B. Academics details (Marks, Percentage and Passing Year).

1) S.S.C. ___________________________________

2) H.S.C. ___________________________________

3) Graduation ___________________________________

C. Company Name (As registered in online given form).

________________________________________________________________________________________

D. Any other Program / Course attended.

(a) Professional Course : _______________________________________________________________________________

(b) Computer Qualification : ____________________________________________________________________________
(c) Any other Qualification : ____________________________________________________________________________

E. Professional interest : ____________________________________________________________________________

___________________________________________________________________________________________________

F. Experience, if any : _______________________________________________________________________________

___________________________________________________________________________________________________

Note: 1) Registration Fees will be 200 rupees only.

2) Registration fees once paid will not be refundable / adjustable under any circumstances.
3) No Selection Guaranteed. If not selected, college Authority / Management will not be held responsible at all under
any circumstances.
4) College Management has no INTERFERENCE in this selection / recruitment process under any circumstance.

___________________
Student’s Signature