PSG Institute of Technology and Applied Research
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REGISTRATION FORM
Name
Email ID
Date of Birth
Department
Civil
CSE
ECE
EEE
Mechanical
Year of Passing
Batch (Eg: 20xx-yy)
Mobile No
Marital Status
Unmarried
Married
Address
Employment Details
Work Experience (Current Organization)
Employment Details
Work Experience (Previous Organization)
Higher Studies
Government Exams
Entrepreneur
Select the Exam
GATE
TOEFL
GRE
TANCET
Other
Exam Score
Proof of Entrepreneurship/Proof of Employment
In what way can you contribute to the institution?
Guest Lecture
Placement Training
Industry Project Guidance
Internship Reference
Preparation For Competitive Exams
Others
Whether you are interested in contributing scholarship to your juniors?
Yes
No
How the college can help you further?
Awards or Appreciations received from any organization
City Current Resided
Linkedin Profile ID
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