T.S.S.

M’s
Padmabhooshan Vasantdada Patil Institute of Technology
Bavdhan, Pune-21 Affix your Passport size
Department Mechanical Engineering photo here

Training & Placement Cell

Academic Year 2019-20

Students Details for Training & Placement

Name of Student:
Division: Class: Roll No.: Branch:
Students Details
Date of Birth: PRN No.:
Email ID:
Student Contact No.: Parent Contact No.:
Parent Occupation details:

Permanent Address:

Current Address:

Academic Details
SSC: HSC: Diploma:
Semester I Semester II
Semester III Semester IV
Semester V Semester VI
Semester VII Semester VIII
Aggregate % or SGPA till last Semester:
Number of live backlogs: No. of dead backlogs: Year Gap:
GATE 2020 appearing: Yes No GATE Coaching required: Yes No
Career Aspirations (Darken any one of your choice)
Campus Placement Yes No Higher Education Yes No
Entrepreneurship Yes No Any Other: None
Domain (Darken your choices)
Design Automobile Quality Maintenance Energy Production
Vendor Development & Purchase Sales & Marketing Others

Students Parents
TPC Coordinator HoD Signature TPO
Signature Signature

I ______________________________, acknowledge that information is true to the best of my knowledge.