ACADEMIC PROFILE

NAME:

BRANCH & SEM:

USN:
Education:
EXAMINATION

MONTH/YEAR
OF
PASSING

PERCENTAGE

MENTION CLEARED
BACKLOGS(SUBJECT
NAME WITH CODE)

MENTION REMAINING
BACKLOGS(SUBJECT NAME
WITH CODE)

SSLC/ AISSE

-------------------------------

-------------------------------

PUC(II)/AISSCE
or
DIPLOMA(aggregate)
I SEM

-------------------------------

-------------------------------

II SEM

III SEM
IV SEM

PERSONAL DETAILS:
DATE OF BIRTH:

MALE/FEMALE:

PHONE:

ADDRESS

Email: