BIO-DATA FOR CAMPUS INTERVIEW

For B. Tech. Students Merit No. -

__________________________

Visvesvaraya National Institute of Technology,

Nagpur – 440010

Name of the
Industry/Organisation:_________________________________________________________________
___

1. GENERAL
1.1 Name: __________________ _______________________
____________________________
Surname First Name Father’s Name
1.2 Date of Birth :
Day Month Year
1.3 Height : ___________ cms. Weight : ____________ kg.
1.4 Present Address :
__________________________________________________________________
_____________________________________ PIN
1.5 Address for Correspondence:
________________________________________________________
(after annual examination) ____________________________________
________________________________ PIN
Phone (R) ______________________
1.6 E-Mail Address : _____________________________ Mobile
No.__________________________
2. EDUCATIONAL QUALIFICATIONS
2.1 Secondary and / or Higher Secondary
Examinati Board / Institution Year of Marks
on Passing Obtained Out of %
(Total)
S.S.C. or
Equivalent
H.S.S.C. or
Equivalent

2.2 Under Graduation

Examination Year of Passing Grade
SPI CPI
1 Sem. B. Tech.
st

2nd Sem. B. Tech.

3 rd Sem. B. Tech.
4 th Sem. B. Tech.
5 th Sem. B. Tech.
6 th Sem. B. Tech.
7 th Sem. B. Tech
8 th Sem. B. Tech

Present CPI: __________ Total Credits Earned:__________________

 - 2–

2.3 Title of Project in Final Year:

________________________________________________________
Name of Guide:
__________________________________________________________________
2.4 Additional Qualifications, if any
____________________________________________________________________________________
3. FAMILY BACKGROUND: Please provide full details since the employer usually
needs this information for record.
Relatio Name Ag Educatio Occupation if Annual
ns e n employed Incom
(Specify e
Designation & (Approx)
Office Address)
Father
Mother

Brothers
Sisters

4. PRACTICAL TRAINING
Have you undergone practical training? Yes No.
If yes, provide details below
Period
Sr. Name of Organisation
No. From To

5. EXTRA CURRICULAR ACTIVITIES

Sr. Name of Activity Level of Participation : Year of
No. College/University/Dist Participation
rict / State/ National

6. ADDITIONAL INFORMATION, IF ANY

_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

Date: ------------------------ Signature ------------------------