Registration No*

Name*

Level*

College*

Branch*

Degree*

Semester*
CGPA/ % of
Marks*
E-Mail ID*

Personal Details

Gender Male Female

Date Of Birth

Age

Weight Kg

Height Cms
Father's/Guardian's Name
Father's/Guardian's
Occupation
Nationality

Mother Tongue
Language Known (To
Speak)
(To Read)
 (To Write)

Social Status*

Disability Status

Address Details
Present Permanent
Address

City
State
Country
PinCode
Contact No

Communicate
To Present Address Permananent Address

Academic Details
Month & Year Of % of
Course Institution Examination Authority
Passing Marks/CGPA
S.S.L.C*
H.S.C/
Diploma*
U.G

Month & Year of Electives

Semester GPA / %
Passing 1
1 2
2 3
3 4
4
 5 5
6 6
7 7
8 8
9 9
10 10

Arrears History Current

Count

Additional Details
Software Skills

Project Details

Project 1

Project 2
Project 3

Co-Curricular/Extra-Curricular Activities

Level of
Activities Participated Year Achievements
Participation

Areas of Interest

Hobbies

Responsibilities
Undertaken
Additional Information

I do hereby declare that the particulars of information and facts

stated herein above are true, correct and complete to the best of my
knowledge and belief.

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