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.