Career Planning and Development Division (CPDD)

GCET / GIMT / GU
Student Profile
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College Roll No.____________________Name _________________________________

Fathers Name_______________________Mothers Name________________________
Course (B.Tech./MCA):_______________ Branch:_______________Section:_________
Sex

Date of Birth (DD/MM/YYYY)_________________________

M

Admission Through : (UPSEE/AIEEE/Direct)__________________ General Rank_________________

Semester

II

III

IV

VI

VII

VIII

B.Tech./MCA
Percentage / SGPA
Total No. of History Backlogs (both
Dead/Live)
Total No. of Gap in Academics 10th
onwards
Cast (Gen/ST/ST/OBC)_______________
10th (%age)

Total No. of
Current Backlog
Details of Gap
B.Tech/MCA Passing year: ____2017_______

YOP ______ Board___________ 10+2 (%)

Dip. %age

YOP______ Board______

YOP ______ Board___________ Name of Dip course____________________

Grad (%) for MCA students

YOP ______ Stream (B.A./B.Sc./BBA): ____________

Grad. Univ. Name:

Medium of Instruction: English / Hindi

Obtained: 10th Eng (%)

12th Eng (%)

Students Mobile _______________E-mail ___________________________________________________________

Fathers Qualification___________________________Occupation: ______________________________________
Monthly Income_______________________________ (Fathers-Mob) ____________________________________
Mothers Name________________________________ Qualification_____________________________________
Occupation __________________________________ Resi.No._________________________________________
Present Address: _______________________________________________________________________________
_______________________________________________________________________________________________
Permanent Address: _____________________________________________________________________________
Technical Knowledge, if any ______________________________________________________________________
______________________________________________________________________________________________
Extra Curricular activities ________________________________________________________________________
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