PARUL INSTITUTE OF ENGINEERING & TECHNOLOGY

IDNo.:
EnrollmentNo.:

PLACEMENT REGISTRATION FORM

NAME: FIRST ___________________________ MIDDLE__________________________LAST________________________

DATE OF BIRTH (DD/MM/YYYY) ___ ___ /___ ___ /___ ___ ___ ___

ACADMIC DETAILS
SPI (1ST)

SPI (2ND)

SPI (3RD )

SPI (4TH)

SPI (5TH )

SPI (6TH )

SPI (7TH)

NUMBER OF BACKLOG (TOTAL) ________________________

NUMBER OF BACKLOG (PENDING) ______________________

ELECTIVES/EXTRAS TAKEN (1) _________________________________ (2) ____________________________

CPI

(3)_________________________________ (4) ____________________________

STANDARD

%AGE(INCLUDING
PRACTICALS)

SCHOOL NAME

BOARD &

MEDIUM OF INSTRUCTION

YEAR

(ENGLISH OR GUJARATI)

XTH
XIITH

IF DIPLOMA TO DEGREE THEN MENTION % IN DIPLOMA _______________________________

BREAK IN YOUR ACADEMIC CAREEER YES (

REASON AND DURATION OF BREAK ___________________________________________________________

HOME ADDRESS

LANDLINE NUMBER

) OR NO (

LOCAL ADDRESS

LANDLINE NUMBER

E-MAIL ID ________________________________________________________________________________________________

MOBILE NO._____________________________ALTERNATE MOBILE NO.________________________________________

ANY CONTACT WITH THE HR OF ANY COMPANY? IF YES, THEN NAME OF COMPANY _______________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________

CAREER PLAN

JOB:-

FURTHER STUDIES:-

APPLIED FOR ANY COACHING.

TIME

PT

GATE ACADEMY

Course Name: - _________________________________________________

GATEFORUM

ENDEAVOR

OTHER:-____________________________

APPEARING FOR ANY ENTRANCE TEST :

CAT

GATE

OTHER:-_______________________________________

DECLARATION
I

____________________________________________________________________________________Student

of________________________________________branch having GTU Enrollment No. ________________________

Studying in PARUL INSTITUTE OF ENGINEERING & TECHNOLOGY college hereby declare that I agree to abide
by the following rule & regulation. In case of any infringement, I shall be liable for action taken against me by the
collage authorities.

Rules & Regulation:

1. If the candidate clears the written test/short listing process, it is mandatory for him/her to appear for further process
(G.D or P.I).
2. During the process of personal interview/ G.D, if the candidate is found to be making absurd remarks, he/she shall
forfeit his/her candidature in future campus recruitment.
3. If at any time in the Campus Recruitment Process, the candidate is found unwilling / disinterested/incorrect
information in the view of the company officials, he/she shall forfeit his / her candidature in future campus
recruitment.
I hereby affirm that my answers to the foregoing questions are true and correct.

SIGNATURE (
Name

DATE:-___________________