Part I : Personal Particulars

(Fill Form in Capital Letters Only)

Staple

Name : ………………………………………………………………………………………………. 3 X Passport

Male  Female  Branch : ………………………….. Semester:……….……………... size

Date of Birth : (DD/MM/YYYY) ……../….../………….. Age (in years as on July 2025): ………….. photographs

Place of Birth ……………………………………… University Roll No.: ………………………………..with name at the

back
E-Mail ID : ……………………………………………………………………….…………………………..
Mobile No. (Self)

PAN No.: _____________________________ Aadhaar No. _______________________________

FAMILY DETAILS : Janaadhaar No. ______________________________

Father’s Name : ………………………………………………………………………………
Occupation : ……………………………………………………………………………..
(Specify employer & designation) : ………………………………..…………………… ……………………….
Mother’s Name : ………………………………………………………………………………
No. of Siblings : ………………………………………………………………………………
Address:
1. Permanent (Father’s) ……………………………………. 2. Local (Guardian’s) …………………

…………………………………………………………….. ………………………………..………….

…………………………………………………………….. ………………………………..………….

Phone No. (Father’s): …………………….……………. Phone No. : ..………….………………..

Any of your relative working in any MNC - Yes / No

If yes, Name of Relative ________________________________________ Contact Details: ________________

Part II : Academic Qualification

% of Year of Medium Registration Academic
Class School Name Board
Marks Passing (H/E) No. Gap
X
XII

Diploma
% of University Rank, Back in Subject Result All Clear in
Year / Semester Year of Passing
Marks if any (if any) Awaited Ist Attempt.
I Semester
II Semester
III Semester
IV Semester
V Semester
 All mark sheets should be submitted to T&P Cell within 7 days of result declaration. In the absence of above,
student will not be allowed to appear for forth coming recruitment drives.
Part III: Additional Information
1. Optional Certification Undertaken:-
 C  C++  DBMS  MongoDB  PLC/ SCADA
 Resct  Full Stack  DevOps  NodeIS  Express
 Web Develop  MERN  Auto Cad  BIM  Auto Desk
 JAVA

Any Other (Please Specify) __________________________________________________

2. Member of Professional / Technical Societies:- Yes  No 
Details:

3. Participation in conference / seminars: - Please attached proofs. Yes  No 

4. Have you appeared for GATE Exam? Please attach details Scorecard. Yes  No 

5. Project (if any):- Please attached details. Yes  No 

6. Extra Curricular Activities:- Please attached extra sheets (if required) Yes  No 
7. Summer / Practical Training:
Year Name & Address of Organization Type of Training Duration
After II Year
After III year
Technical Training

❖ Training Certificates / Letters are mandatory to be submitted.

Enclosures.:
1 Set of all documents
1. 10th Marksheet  9.2 photographs (in formals) 
2. 12th Marksheet  White shirt Red/ Maroon Tie for Males.
3. Diploma Marksheet  Light Colored formals for Females.
4. I Sem Marksheet  10. Resume (1 Copies) (Hard Copy) 
5. II Sem Marksheet  11 . Resume (1 Copy) (Soft Copy) 
6. III Sem Marksheet  12. All Certificates of Participation 
7. IV Sem Marksheet  13. Other Relevant Documents 
8. VSem Marksheet  14. Summer Internship Letter. 
15. Aadhar Card  16. Valid Photo ID Proof. 
(All photo copies should be self attested.)
Latest Resume (Hard & Softcopy). Soft Copy of Resume & Passport size colored photographs to be submitted
to respective department.
Date: (Signature of Student)

FOR DEPARTMENT OFFICE ONLY

Checked & Verified by ___________________________ Department Seal & Signature _______________

Verified on ________________________ Date __________________

FOR TRAINING & PLACEMENT OFFICE ONLY

Received by ________________________ T&P Seal _______________
Received on ________________________
Remarks__________________________________________________________________________________
 STUDENT DECLARATION FORM

Eligibility Norms of Placements Assistance:

1. The “Placement Assistance” is only available to students who have registered with the
Training & Placement Cell. Placement form is mandatory to be filled to avail placement
assistance/ opportunities.

2. The students are required to exhibit the commitment and discipline as appropriate for a

professional work place. As such, students are expected to maintain high standards of

attendance, punctuality, code of conduct in the Institute, etc, failing which registration with the

Training & Placement Cell might be cancelled on disciplinary grounds which are at the sole

discretion of the management. The student cannot claim assistance for any job if the

management finds his/her code of conduct unethical.

3. The Placement Team will call/ inform the students for interview through a phone (Call or

SMS), E-Mail Notification, display of Notices etc.

4. If the student fails to attend the same, then the Training & Placement Cell bears no

responsibility for the leading consequences.

5. For the efficient communication to take place, the students must inform their latest contact

information to the Training & Placement Cell. For any changes & updation in Mobile no. or E-

mail ID, the Training & Placement Cell at the prime priority must be informed by the student.

6. If the student does not appear for recruitment drives or fails to inform for their absence, then

Training & Placement Cell will not provide any other option under any circumstances nor can

the candidate ask for the same.

7. Student should have a minimum of 75% attendance in the classes on aggregate basis.

8. The Training & Placement Cell reserves the right to cancel the placement assistance

registration if student refuses to accept the offer after qualifying the selection process.

9. Students should visit the website of the corporate and should thoroughly go through the job

description provided and shared by Training & Placement Cell.

10. Formal Dress Code is compulsory to be worn for the Recruitment Drives. No student shall be

allowed to appear for the Interview without a formal dress / Uniform.

11. 2 Sets of Curriculum Vitae with 2 recent colored passport size photographs in formals need to
be submitted along with the Placement Form. The student must also carry his / her CV and all
academic documents every time for Job Placement Interview or Recruitment Drive without
failure.
12. Training & Placement Cell shall provide five (5) chances to appear in the Interviews. None

selection in any of the above will lead to cancellation of the registration with the Training &

Placement Cell. However, the sole discretion of the Management will be binding in such

circumstances. The student will be required to seek NO OBJECTION from the Department if

unable to clear even1 out of 5 recruitment drives.

13. All results (fresh declarations, back log results, re-evaluation results etc). Should be

immediately informed to the T&P Cell and the photocopies of the requisite Mark sheets should

be submitted at the earliest once received.

14. T&P Cell prepares data of eligible candidates from the data received till date, if the student

fails to submit updated records on time, he/ she shall bear all consequences of such negligence.

15. Non compliance with any of the above rules would lead to cancellation of the Placement

Assistance. The placement rules and regulations are subject to change anytime and is at the

sole discretion of the management.

STUDENT DECLARATION

I ______________________________________________________________________________

S/O/D/O _________________________________ studying in _________ Semester of

________________ in Branch ______________, hereby declare that I have clearly understood the

terms and conditions and give my consent to adhere to the same. I have also enclosed the Placement

Form (duly filled) with my Curriculum Vitae, the details of which are true to the best of my

knowledge & Belief.

DATE: ____________ STUDENT SIGNATURE

 OUR PLACEMENT POLICY

• Eligibility Criteria: Students must meet specific academic and attendance requirements
to be eligible for campus placements.

• Pre-Placement Training: The College provides training sessions on aptitude, technical

skills, and interview techniques to prepare students for the placement process.

• Placement Process: The College organizes on-campus recruitment drives where

companies conduct written tests, group discussions, and interviews to select candidates.

• Code of Conduct: Students are expected to maintain professionalism during the

placement process; including adhering to deadlines and attending all scheduled
interviews.

• Offer Acceptance: Students must carefully review job offers and promptly accept or
decline them according to the college's guidelines.

• Post-Placement: Once a student accepts a job offer, they are typically not allowed to
participate in further placement activities unless specified by the college's placement
policy.