CANDIDATE INFORMATION FORM & HALL TICKET

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HALL TICKET NO NVL F CAPE>O=O -('-1 F R%-

POOLED CAMPUS HOST INSTITUTE (VENUE) S#!#+tion P"o+#ss,

Venue: Poornima College of Engineering Address: ISI-6, RIICO Institution ! A"# , Sit $u" , % i$u"-&'( '(( (R ) st* n)

D t#, -'t* F#."u "/0-1 (Mon2 /) St#$ '-, 3"itt#n T#st (T#+* 4 A$titu2#) D t#, --t* F#."u "/ 0-1 (Tu#s2 /) St#$ '-, PPT St#$ '(, 5"ou$ Dis+ussion (O$tion !) St#$ '&, Document V#"i6i+ tion St#$ '1, P#"son ! Int#"7i#8 D t#, -'t* & --t* F#."u "/ ('-19 (Mon2 / & Tu#s2 /) R#$o"tin: Ti;#, <,&' AM Please note that the Candidate Information Form & Hall Ticket has 3 pa e!s"# Candidates ha$e to %rin the hall ticket in the e&act format as pro$ided %' (icco Ventures )ith all the pa e!s"# Hall Tickets in different formats )ill strictl' not %e ackno)led ed & accepted durin the recruitment process#
CANDIDATE NAME

Please affix your passport sized photograph with signature. Signature should start outside the photograph & end within the photograph without which the hall ticket will be considered as invalid.

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DATE OF =IRTH !..0,,01111" CONTACT PH9 NO9 !2ith +T." ADDRESS =9TECH INSTITUTE ?TH STANDARD (@) =9TECH SEMESTER 3ISE =REAK-UP =9TECH PERCENTA5E (@) SEMESTER 3ISE =ACK LO5 SEMESTER 3ISE =REAK UP (A>N) - SEM
ST

!,I../- (A,-" 5ENDER (M>F) CONTACT MO=ILE NO9

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AEAR OF PASSIN5 (
ND

?IITH STANDARD (@)

SEM

AEAR OF PASSIN5 1 SEM

TH

& SEM
RD

B SEM
TH

6TH SEM

CTH SEM

=ACK LO5 (A>N)

5RAD > EN55 PERCENTA5E (@) D As on 2 t#E =9TECH>5RADUATION STREAM =9TECH>5RADUATION UNIVERSITA

Declarations:

I hereby declare that the foregoing information are correct and complete to the best of my knowledge and belief and nothing has been concealed. If at any time, i am found to have concealed any material information or given any false details about myself, i understand that my appointment shall be liable to summary termination without any notice or compensation thereof to me. ------------------------------------------------Signature of the candidate: Instructions: Candidates are requested to make 2 copies of the Candidate Information Form & Hall Ticket and complete both the copies with all relevant details & photo raph! "lease submit one cop# of this form dul# filled in durin the re istration process! The other cop# of Hall Ticket will be collected durin the written test or interview process Candidates are requested to carr# the $alid Identification%Colle e I& 'which has photo raph( for Identit# proof! "lease note that failure to brin the identification with photo raph & the form dul# filled in would disqualif# them from appearin for the selection process! "lease read the compan# profile) vacanc# details & instructions thorou hl# in the ne*t pa es! Date:

Official Seal Signature Of !uthority "erifying the Information above On behalf of the institute

Signature Of The Authority on behalf of the institute with seal, name & designation

DISCLAIMER F NICCO VENTURES w (ICC3 V-(T4*-+ does not commit or uarantee an' 5o% to an' candidate of the institute )hile performin its responsi%ilities )ithin the scope of the )ork in this initiati$e# w The Final recruitment )ill %e carried out throu h %' the corporate dependin 6 matchin )ith their satisfaction & e&pectation )ith the candidate# w (ICC3 V-(T4*-+ !at an' sta e" in no )a' )ill influence6interfere or pla' an' role in the recruitment 6 selection process of the corporate6emplo'er# w (ICC3 V-(T4*-+ does not commit an' $acanc' in an' form from an' particular compan' or or ani7ation under this initiati$e# w The selected candidates )ill not ha$e to pa' an' fees or amount to an' part' concerned in this recruitment dri$e# w If a candidate is offered from this recruitment dri$e under this initiati$e !also )hen the candidates accepts the offer"8 the candidate )ill not %e entitled to appear for an' other recruitment process as or ani7ed %' (ICC3 V-(T4*-+ in terms of P/AC-,-(T !CA,P4+" +4PP3*T I(ITIATIV-# w (ICC3 Ventures )ill not %e responsi%le for an' chan e made %' the recruitin or ani7ation in terms of recruitment offer or 5oinin status at a later sta e#

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