REGISTRATION FORM
FOR THE PLACEMENT ORIENTED TRAINING IN JAVA with ANDROID TECHNOLOGY
Personal Details
Name
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Date of birth
*
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DD
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MMM
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YYYY
1982
1983
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1985
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1989
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1991
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1997
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1999
2000
Gender
*
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Male
Female
Marital Status
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Select
Single
Married
Contact Details
House No
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Telephone
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Std code
House Name
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Mobile
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Street
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E-mail
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Place, Post Office
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District
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Pin
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State
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Select
Andaman and Nicobar Islands (UT)
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh (UT)
Chhattisgarh
Dadra and Nagar Haveli (UT)
Daman and Diu (UT)
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Lakshadweep (UT)
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Orissa
Puducherry (UT)
Punjab
Rajasthan
Sikkim
Tamil Nadu
The Government of NCT of Delhi (UT)
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
Qualification Details
Qualification
Institution
Board/University
Specialization
Year passed
Marks %
SSLC
*
Select
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
%
HSC
*
Select
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
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1995
1996
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1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
%
Graduation
*
Select
BE
BE (CSE)
BE (ECE)
BE (EEE)
BE (EIE)
BE (INST & CONTROL)
BE (IT)
BE (MECH)
BTech
BTech (AE & I)
BTech (AE)
BTech (BIOMED)
BTech (CIVIL)
BTech (CSE)
BTech (ECE)
BTech (EEE)
BTech (EIE)
BTech (IT)
BTech (MECH)
BTech (POLYMER)
MCA
MSc.(CS)
MSc.(IT)
Select
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
%
Post Graduation
Select
MCA
M Tech
Select
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
%
Have any Back Papers at present ?
*
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Yes
No
Center of Entrance Exam
*
:
Select
COCHIN - Escube , 3rd Floor, Raman Centre, Near Valanjampalam Temple, EKM South,PH : 0484 2356372
Willing to work outside india
*
:
Yes
No