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Student Information Form To help us in providing best Career & Employment opportunities for you: Name: ______________________________________________________________ Phone:

___________________ Email-id__________________________________ College: _____________________________________________________________

Educational Background:

Diploma

B.E./B.Tech

M.E./M.Tech

EC

EE

EI

ME

EX

CS

IT

IP

Other_______________

Field of Interest (check in Box given below):


Electronics Design Embedded System VLSI Design

Robotics/Mechatronics

Software Technologies

Aeromodelling

Hardware & Networking

CISCO Certification

Biomedical Equipments

Mobile Communication

RF/Telecom

Other_______________

Your intent or purpose for taking this class/program: (Check in Box Given Below):
Minor Project Major Project Industrial Project

Placement

Industrial Training

Other__________

____________ Date

________________ Signature

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