Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 1

DR.

SUDHIR CHANDRA SUR DEGREE ENGINEERING COLLEGE


CAMPUS CONNECT PROGRAM

1.

NAME OF THE STUDENT

: ___________________________________________________________

2.

AGGREGATE PERCENTAGE : Class X ________________________ Board :_______________________

Class XII________________________ Board :_______________________

3.

CAREER ASPIRATIONS

:_____________________________________________________________
__ _____________________________________________________________
______________________________________________________________
_____________________________________________________________
______________________________________________________________

4.

DREAM INDUSTRY

:_____________________________________________________________
______________________________________________________________

5.

CONTACT NO.

:_____________________________________________________________

6.

EMAIL-ID

:_____________________________________________________________

7.

WILLING TO PURSUE HIGHER EDUCATION

: YES

SIGNATURE : ___________________________________

NO

DATE

: __________________

You might also like