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Student Information Sheet

This document is a student information sheet for a 2012 passing out batch. It requests information such as the student's name, date of birth, registration number, address, parents' names and occupations, contact details, education details including board exam results from Class 10 and 12 and diploma, B.Tech semester results, and entrance exam rank. The student is asked to provide the information, attach a passport photo, and sign the sheet.

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Er Anupam Datta
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0% found this document useful (0 votes)
152 views2 pages

Student Information Sheet

This document is a student information sheet for a 2012 passing out batch. It requests information such as the student's name, date of birth, registration number, address, parents' names and occupations, contact details, education details including board exam results from Class 10 and 12 and diploma, B.Tech semester results, and entrance exam rank. The student is asked to provide the information, attach a passport photo, and sign the sheet.

Uploaded by

Er Anupam Datta
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

STUDENT INFORMATION SHEET

2012 Passing out Batch


Paste Passport
1. Name : …………………………………………………………………………… Size Photograph

2. Date of Birth : ……………………………………………………………………………

3. Stream : ……………………………………………………………………………

4. Registration No. : …………………………………………………………………………….

5. Roll No. : …………………………………………………………………………….

6. Marks/Grades Obtained: ……………………………………………………………………………..

Class X Class XII Diploma

Board: Board: Board:

YOP Total Marks % of Marks Actual Marks% YOP Total Marks % of Marks Actual Marks% YOP % of Marks

Obtained Obtained

[Link] Details:

SEM I SEM II SEM III SEM IV SEM V SEM VI SEM VII SEM VIII Average

7. Address for Communication (Present) : ……………………………………………………………….

……………………………………………………………….

……………………………………………………………….

8. Address for Communication (Permanent) : ……………………………………………………………….

……………………………………………………………….

……………………………………………………………….
9. Father’s Name : ……………………………………………………………….

10. Father’s Occupation : ……………………………………………………………….

11. Mother’s Name : ……………………………………………………………….

12. Mother’s Occupation : ……………………………………………………………….

13. Guardian’s Name : ……………………………………………………………….

14. Guardian’s Occupation : ……………………………………………………………….

15. Telephone No. & Mobile No.* : ……………………………………………………………….

……………………………………………………………….

16. Email ID : ……………………………………………………………….

17. Joint Entrance Exam Rank (AIEEE/WBJEE/JELET)*: …………………………………………………….

Signature of candidate

………………………………………………………………

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