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)
    Certification PANCard No
    Aadhar Card No Driving Licence No
    Upload Resume
    DIPLOMA

    If applicable

    Course Name
    Stream
    1st Year 2nd Year 3rd Year
    Final (Avg %) Backlog
    Passout Year UNIVERSITY/ COUNCIL
    Diploma Passing Out
    UNDER GRADUATION

    Applicable for UG and PG students

    Course Name
    Stream
    1st Year 2nd Year 3rd Year 4th Year 5th Year
    Avg SGPA Backlog
    Passout Year UNIVERSITY/ COUNCIL
    Graduation Passing Out
    POST GRADUATION

    Applicable for PG students

    Course Name
    Stream
    1st Year 2nd Year 3rd Year 4th Year 5th Year
    Avg. SGPA Backlog
    Passout Year UNIVERSITY Name/Council/Board
    Confirmation support
    Do you confirm you need support from CDC for internships YesNo

    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.