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PLACEMENT APPLICATION FOR STUDENTS

Full Name*

Fathers Name*

Email*

Contact No.*

Address*

Date Of Birth*

Sex*

Male Female

Marital Status*

Unmarried
Married

Languages Known*

Computer Skills*

Enrolment No / Registration No / Student ID*

EDUCATIONAL QUALIFICATION

10th Name of Board/ University*

Year of Pass*

Division of Pass with % of marks*

+2/ITI Name of Board/ University*

Year of Pass*

Division of Pass with % of marks*

Graduation Name of Board/ University*

Year of Pass*

Division of Pass with % of marks*

Diploma Name of Board/ University*

Year of Pass*

Division of Pass with % of marks*

Other Name of Board/ University*

Year of Pass*

Division of Pass with % of marks*

Course done at NIHSE*

Center Code*

Center City*

Job Experience if any (in Yrs)*

Driving License*

PAN Number*

Passport Number*

Passport Date of Issue*

Passport Issuing Authority*

Passport Date of Expiry*

Height (in cm)*

Weight (in Kg)*

Criminal Cases if any*

Yes No

If Yes, Please Specify*

Photo*

Please Upload Passport size Photo only

Latest Resume*

Please Upload .PDF or Word File Only

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