PVG’s College of Engineering & Technology, Pune -9

BEST OUTGOING STUDENT COMPETITION - AY 2023-24

1. Personal Information
● Name :

● Department :

● Date of Birth :

● Permanent Address :

● Mobile No :

● Email :
2. Educational Qualification
Sr. Examination Board/University Year of % Marks Rank Prizes
No Passing
(If any) (If any)

1 S.S.C

2 H.S.C

3 Diploma

Sr. Year Year of Passing SGPA Remark

No
(Not to be filled by student)

1 F.E.

2 S.E

3 T.E.

3. Co-curricular Performance
(Furnish all the details of Technical Papers Presented/Articles Published/Project
Competition etc. and as applicable)
a) At PVG COET
Sr. Name of Day & Description Level Prizes Remark
No the Event Date (Intercollege/state/ (If any)
(Not to be
National)
filled by
student)
 PVG’s College of Engineering & Technology, Pune -9

b) At other Institute
Sr. Name Day Organizing Description Level Prizes Remark
No of the & Institute (Intercollege/state/ (if any)
(Not to be
Event Date National/International)
filled by
student)

4. Extra-Curricular Activities
(Furnish all the details of sports/debate competition/Essay writing
Competition /Drawing/Dance/Music/Drama/Event Organizer etc. and as
applicable)

a) At PVG COET

Sr. Name of Day & Description Level Prizes Remark

No the Event Date (Intercollege/ (if any)
(Not to be filled
state/
by student)
National)

b) At other Institute

Sr. Name of Day & Organizing Description Level Prizes Remark

No the Event Date Institute (Intercollege/ (if any)
(Not to be
state/
filled by
National/
student)
International)
 PVG’s College of Engineering & Technology, Pune -9

5. Social Services
Sr. Name of the service Year Details of Remark
No Activity/Organizing
(Not to be filled by
institute
student)

1 Blood Donation

2 Work for any social

Institute

3 NSS

4 Any other please Specify

6. Outstanding Achievements(Achievements not mentioned in co-curricular and

extracurricular activities)

7. Details of placements

Company Name:
Package:

8. Are you planning for higher studies? If yes

Name of the competitive exam/s:

Score:

9. Additional Information if any

Note:

● Each information must be supported by valid documents

● Original documents are necessary at the time of interview

 PVG’s College of Engineering & Technology, Pune -9
● Students should abide by the decision taken by the committee.

Date: Signature of the student