Department of Electronics and Communication Engineering

National Institute of Technology, Hamirpur (H.P.)

Performa for General Proficiency Viva

Paste a Passport
Size color
Photo.

Personal Detail/व्यक्तिगत जानकारी:

Name/नाम

Roll No./अनुक्रमांक

B. Tech. ECE/Dual degree

CGPI/सीजीपीआई
E-mail/ई-मेल
Mobile No./मोबाइल न०
Correspondence Address/पत्राचार का पता
(After leaving the institute)

JEE Rank/जेइइ रैंक

Gate Score/गेट स्कोर (If applicable)
UPSC/GRE/Any other exam/अन्य परीक्षा
Placement and Package/प्लेसमेंट एंड पैके ज
Journal (SCI/Scopus/WOS/ESCI):
International/National Conference):
Publications (If any)

Higher Studies/उच्च अध्यन (If Applied)

Participation in Technical/Cultural/Sports/any other activities:

Within Department/विभाग में

In the Institute/संस्थान में

Outside Institute/संस्थान के बाहर

Achievements/Awards/उपलब्धियां/पुरस्कार

Suggestions (if any)/सुझाव

I hereby certify that all above information

submitted in this application is true and
correct to the best of my knowledge. I
further understand that any false
statements may result in reduction of Agree/Disagree
marks.
Signature/हस्ताक्षर