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The document is a candidate registration form for the event "Eudaimonia - 2011" organized by the Albertian Institute of Management in Cochin on October 22, 2011. The form requests information such as the candidate's name, phone number, email, educational qualifications, specialization if any, percentage of marks obtained, work experience and a declaration signed by the candidate affirming the details provided are correct.

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Jiss Jose
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26 views

Form

The document is a candidate registration form for the event "Eudaimonia - 2011" organized by the Albertian Institute of Management in Cochin on October 22, 2011. The form requests information such as the candidate's name, phone number, email, educational qualifications, specialization if any, percentage of marks obtained, work experience and a declaration signed by the candidate affirming the details provided are correct.

Uploaded by

Jiss Jose
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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CANDIDATE REGISTRATION FORM

EUDAIMONIA 2011
ORGANISED BY ALBERTIAN INSTITUTE OF MANAGEMENT, COCHIN ON OCTOBER 22, 2011

FOR OFFICE USE


REG. NO.

Take a print out of this form, and fill the same using blue/ black pen & carry it with you for registration Fill in capital letters NAME DD DETAILS
OF THE CANDIDATE: PHONE EMAIL ID STREAM
(PLEASE TICK)

NO: DATE: BANK: B.E / B.TECH ..MBA ..MCA ..

SPECIALISATION (FOR B.E, B.TECH, MBA): YEAR OF PASSING:


NAME OF THE COLLEGE: NAME OF THE UNIVERSITY:

COURSE

% OF MARKS

EXPERIENCE IF ANY (START WITH PRESENT / MOST RECENT)


ORGANISATION DESIGNATION PERIOD

10 12 DIPLOMA GRADUATION
(FOR MBA/ MCA STREAM)

PERCENTAGE OF MARKS SEMESTER l % OF MARK (B.E / B.TECH) % OF MARK (MBA / MCA) DECLARATION

ll

lll

lV

Vl

Vll

Vlll

I .., AFFIRM THAT ALL INFORMATION FURNISHED ABOVE IS CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF.

DATE:

SIGNATURE

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