University Roll No *
Student Name *
Gender *
Present Course *
Present Stream/Subject/Specialization (If Any)
Present Course - Passout Year
Education Medium in 10th Standard *
Date of Birth (MM-DD-YYYY) *
Student's Contact No. 1 *
Student's Contact No. 2
Student's EMAIL ID (Personal) *
Student's EMAIL ID (AU Email ID)
Guardian's Name *
Guardian's Contact No*
Present Address (Full)
Permanent Address (Full)

School Education

Class 10 %
Class 10 % (best of 7/6/ 5/4 subjects marks)
Year of Passing-10th Class
10th Passing Out- School Name
Board/ Council (10th)

High School Education

Class 12 %
Class 12 % (best of five marks)
Year of Passing-12th Class
Board/ Council (12th)
12th Passing Out- School Name
Maths % in Class 12

Additional Information

INDUSTRIAL TRAINING /Internship(1)INDUSTRIAL TRAINING /Internship(2)
CertificationPANCard No
Aadhar Card NoDriving Licence No
Upload Resume
DIPLOMA

If applicable

Course Name
Stream
1st Year2nd Year3rd Year
Final (Avg %)Backlog
Passout YearUNIVERSITY/ COUNCIL
Diploma Passing Out
UNDER GRADUATION

Applicable for UG and PG students

Course Name
Stream
1st Year2nd Year3rd Year4th Year5th Year
Avg SGPABacklog
Passout YearUNIVERSITY/ COUNCIL
Graduation Passing Out
POST GRADUATION

Applicable for PG students

Course Name
Stream
1st Year2nd Year3rd Year4th Year5th Year
Avg. SGPABacklog
Passout YearUNIVERSITY Name/Council/Board
Confirmation support
Do you confirm you need support from CDC for internshipsYesNo

I hereby declare that I do understand the internship and final placement policy of the university and I do agree with all necessary T & C. I also do declare that all information shared here are true and correct as per as best of my knowledge. I do declare that university reserves all right if any information found wrong.

captcha