PERSONAL INFORMATION:

Complete Name : _______________________________

(Block Letters)

Date of Birth : _______________________________ Paste Your Recent

Passport Size
Age : _______________________________
Photograph
Citizenship : _______________________________

Sex : Male / Female

Category : _______________________________

Correspondence Address : _______________________________

_______________________________

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Telephone _______________________________

Permanent Address : _______________________________

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Telephone _______________________________

E-mail ID : _______________________________

Father’s /Guardian’s Name : ______________________________

& Occupation
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Mother’s Name & : ______________________________

Occupation
______________________________

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Languages Known

Language Speak Read Write

ACADEMIC RECORD:

Examination Univ./Board Year of Maximum Marks Percentage

Passed Passing Marks/SGPA Obtained/SGPA Obtained
Class X
Class XII
BE
1st Semester
2nd Semester
3rd Semester
4th Semester
5th Semester
6th Semester
7th Semester
8th Semester
Net CGPA up to last result declared.

ME
1st Semester
2nd Semester
Net CGPA up to last result declared.

TRAINING & PROJECTS UNDERTAKEN:

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ACADEMIC INTEREST / SKILLS:
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EXTRA-CURRICULAR ACTIVITIES:

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OTHER INFORMATION:

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I hereby declare that particulars given herein are true and complete to the best of my knowledge and belief.

Date:_______________ Place:________________ Signature:________________________

 PEC University of Technology
Chandigarh, India

PERSONAL DATA FORM

(Please fill the form in block letters in your own hand)

NAME :
_________________________________________________________________

BRANCH : _________________________________________________________________

ROLL NO. : _____________________ BATCH : _______________________

NAME OF ORGANIZATION : ___________________________________________________________

Phone : (0172) 745 085 (Direct), EPBX 744 075, 745 079, 747 071 Extn.615
Fax : (0172) 745 175.
E-mail : placements_pec@yahoo.com, placement@pec.ac.in