SIKSHA ‘O’ ANUSANDHAN UNIVERSITY

(U/S-3 of the UGC Act 1956)

INSTITUTE OF TECHNICAL EDUCATION & RESEARCH(ITER)
(Faculty of Engineering)
JAGAMOHAN NAGAR, JAGAMARA, BHUBANESWAR-751030

CV
NAME : ……………………………………………………….
BRANCH:…………………………………………………….. Attach Three
Colour
DATE OF BIRTH : ………………………………………….
Passport Size
Registration No: ……………………………. Photographs
PERMANENT ADDRESSS: ADDRESS FOR CORRESPONDENCE :

CONTACT PHONE NO: …………………………………MOBILE NO: ..…………………………….

(With STD Code)
E-mail ID:
(Mention the valid E-mail ID, which must be active till Oct 2011 )
EDUCATIONAL QUALIFICATION:
Examin Board Year of Academic Institute % of
ation Passing Gap if any Marks
/B.Tech
CGPA
10th
+2/
Diploma
B.Tech 1ST Sem 2nd Sem 3rd Sem 4th Sem 5th Sem 6th Sem Total
CGPA

DECLARATION
I hereby declare that all the above statements are true to best of
my knowledge and belief.
Date: Place:
Full Signature of the Candidate
NB: Attach Xerox copies off all mark sheets and certificates starting from 10 th onwords
(mandatory)