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B-Tech / MCA / MSc-2007 Registration Form
Please complete the registration and submit your resume in one sitting. All fields marked *are mandatory
Personal Details
First Name * :		Last Name * :
Email Address * :		Secondary Email* :
Please provide frequently used e-mail address as these will be used to contact you in future
Date of Birth :		Gender
Marital Status
Present Address		Permanent Address
Address * :		Address * :
State * :		State * :
City *:		City *:
District * :		District * :
If others :		If others :
Pin Code * :		Pin Code * :
*Contact Telephone Number (at least one )**
Contact No :	Area code	Phone Number :
Mobile No :
Additional Information
Languages known * :	Read	Write	Speak



Passport No :
Education
Secondary (%) :		Higher Secondary (%) :

Graduation :		If others
Area of Specialization :		Duration of Course :	Yr(s) Mh(s)
Board / University :		College :
Percentage : %	Semester wise mark details
Semester : %	1 2 3 4 5 6 7 8
Aggregate : %

Post Graduation :		If others
Area of Specialization :		Duration of Course :	Yr(s) Mh(s)
Board / University :		College :
Aggregate : %

Gap in Academics (in yrs) * :		No of current backlogs * :