Registration Form

PARUL INSTITUE OF ENGINEERING & TECHNOLOGY Accredited by NBA‐AICTE & NAAC‐UGC “REGISTRATION FORM FOR JOBMELA 2011” A National Level Placement Program E‐mail: info@piet‐jobmela.org Website: www.piet‐jobmela.org (Surname) 1) Name: (Name) (Middle name) 2) Date of Birth: _______________ (dd/mm/yyyy) STREAM (DIPLOMA/DEGREE): _____________ 3) College/University:_______________________________ Branch:_____________ 4) 10 th 12 th 1st year CBSE/GSEB/Other Board/University nd
Marks & Percentage Year of Passing Out 2 year 3rd year 4th year 5) Residential Address: _____________________________________________________ _______________________________________________________________________ 6) Contact No.: (R) ______________________ (M) __________________________ 7) E‐mail ID: _____________________________________________________________ I have read the rules and regulations well and hereby declare that I will abide to rules as mention below. Rules & Regulations: 1.
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Institute will just provide you a platform. Institute will not give you any guarantee about your placements, candidates recruitment is based on companies’ selection criteria & candidates’ own skills. According to the strength of students aptitude test will be conducted. This matter is yet not confirmed. This will be informed by us. Please see updates regularly on the site. Money is not refundable in any case. College will not be responsible for the dealings between the companies & students. Students must keep their Identity Card, Driving License/Passport along with all essential Originals & attested Xeroxes Student must maintain discipline during JobMela, in case of any misbehavior/ misconduct will lead to cancelation of candidature. Conditions will be applied according to the companies’ rules and regulation. Registration fees: Rs.200/‐ Signature of the candidate For Office Use only Name: __________________________________________ FORM NO. : _______________ FEES RS: 200/‐ RECEIVED Authorized Signature For any query contact: Neel - 9427354035, Jay – 9099405454, Shreykunj - 9727409333,