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UNIVERSITY COLLEGE OF ENGINEERING BHARATHIDASAN INSTITUTE OF TECHNOLOGY CAMPUS ANNA UNIVERSITY, TIRUCHIRAPPALLI-620 024. REGISTRATION FORM TO ATTEND CAMPUS RECRUITMENT Name Reg.No Branch Date of Birth Residential Address Mobile E-mail Id Name of the Company (to attend Recruitment) Academic Profile: Course ‘SSLC SLC Diploma (For UG Lateral Entry) Percentage/ CGPA Month / Year of Passing Semester 1 2 3 4 3 é fm GPA (No round off)| (Enclose the photo copies of all mark sheets from SSLC onwards) Thereby declare that the information provided above, are true to best of my knowledge. Student’s Certified that the student is ble to attend campus recruitment as per the company criteria Department Placement Coordinator HOD

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