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REGISTRATION FORM: COLLEGE CAMPUS TRAINING PROGRAM
Personal Details:
Name
Father Name
Nationality
Indian
NRI
Foreigner
Gender
MALE
FEMALE
Mailing Address
Email ID
Alternate Email ID
Mobile No.
Home Ph. No.
Educational Details:
Working
Status
Student
Employed
Unemployed
Branch
Engg.(CS)
Engg.(IT)
Engg.(EC)
Engg.(ET)
Engg.(EI)
Engg.(EE)
Engg.(EN)
Engg.(ME)
Engg.(CIVIL)
Engg.(CHEMICAL)
MCA
BCA
M.Sc.(IT)
M.Sc.(CS)
M.Sc.(Others)
B.Sc.(IT)
B.Sc.(CS)
B.Sc.(Others)
Others
Year
FIRST
SECOND
THIRD
FOURTH
FIFTH
College State
Andaman, Nocobar Islands
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chattisgarh
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu & Kashmir
Jharkhand
Karnataka
Kerala
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Orissa
Pondicherry
Punjab
Rajasthan
Sikkim
Tamilnadu
Tripura
Uttaranchal
Uttar Pradesh
West Bengal
College City
Port Blair
Others
Training Details:
Training Location
MIET Meerut
Course to be joined
VHDL
Batch Date
Monday, October 06, 2008
Duration
40 Hours
Declaration of student:
I here by declare that all the above information are true to the best of my knowledge.
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