UNIVERSITY COLLEGE OF ENGINEERING BHARATHIDASAN INSTITUTE OF TECHNOLOGY CAMPUS: ANNA UNIVERSITY, TIRUCHIRAPPALLI-620 024. DATABASE REGISTRATION FORM Name Gender Reg.No Branch Date of Birth Residential Address Mobile E-mail Id GAP in Academics (years): No of current backlogs History of backlogs (Yes/No): Academic Profile: Course SSLC SLC Diploma (For UG Lateral Entry) Percentage/ CGPA ‘Month / Year of Passing Semester 1 2 5 4 5 6 7 GPA (No round off) ‘Enclose the photo copies of all mark sheets from SSLC onwards) hereby declare that the information provided above, are true to best of my knowledge. Student's Signature Certified that the details provided by student is found to be correct Department Placement Coordinator HOD