DEFENCE INSTITUTE OF ADVANCED TECHNOLOGY

(Deemed to be university U/s 3 of UGC Act 1956)

Girinagar, Pune-411 025

Placement Registration Form

Passport Size
ACADEMIC YEAR: 2022-23
Recent Photo

Title of Degree presently being pursued

1. Personal Details:
Name of Student:
(In block Letters)

Father’s Name: Mother’s Name:

Date of Birth: Place of Birth:

Age as on 01 July 20___: Year Months Days

Gender: Marital Status:

Religion: Blood Group:

Address For Communication:

(In block letters with PIN code)

Permanent Address:
(In block letters with PIN code)

Email ID:

Mobile Number: Alternate Contact No.

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PAN No. Aadhaar No.

State of Domicile:

2. Educational Qualification:

A. Details of B.E/B.Tech-

1. Subject/Discipline:

2. Name of Institute/University:

Year Semester Year of Passing % of Marks/CGPA Division/Class Rank/Position

(If any)

Aggregate % of marks / CGPA:

Percentile score in GATE Exam:

Year of passing GATE:

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 B. Details of M.Tech-

1. Subject/Discipline:

2. Name of Institute/University:

Year Semester Year of % of Marks/CGPA Division/Class Rank/Position

Passing/Appearing
(If any)

Aggregate % of marks / CGPA up to last semester:

3. Research/Professional Experience/Work and Experience

on Scientific projects and /or Paper publication details:

1.

2.

3.

4.

4. Extra-Curricular Activities:

1.

2.

3.

4.

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 5. Details of Registration Fee:
Amount: 1000/- (Rupees One Thousand only)

Receipt Number: Date of payment:

6. I may please be registered for placement services/process. My Bio-data/CV is

enclosed herewith for forwarding to the Companies for placement. I am aware that
Registering in CTP by paying registration fee doesn’t guarantee placement, and it is
purely voluntary.

7. DECLARATION:
I) I have read and understood ‘Policy Document of Centre for Training &
Placement’ of DIAT and I will abide by the placement policy of DIAT (DU) Pune.
II) I have sent soft copy of my Bio-data/CV to placementcell@diat.ac.in and I’ll
keep updating it from time to time, which may be forwarded to the companies for
placement.
III) I declare that foregoing information is correct and complete to the best of my
knowledge and belief and nothing has been concealed / distorted. If at any time, I
am found to have concealed / distorted any material information; my candidature
shall be liable to summarily cancellation without notice.

Place:
Date: Signature of the Student

Name of Student:

Registration Number

Name of Course

Name of Deptt./School

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