Central University of Gujarat (CUG)

Note: Please fill Placement form in single attempt.

Enrolment No. *

First Name * (As per Matriculation Certificates)

Middle Name (if any)

Last Name * (As per Matriculation Certificates)

Father's Name * (As per Matriculation Certificates)

Mother's Name * (As per Matriculation Certificates)

Date of Birth *

Mobile Number *

E-mail *

Address for Correspondence *

Home Address *

City *

State *

Pincode *

Parent's Contact Number *

State of Domicile * (write NA if not Available)

Class X

Class X % * (Up to 2 decimal places without % sign)

School Name *

Board Name *

Year of Passing *

Class XII

Class XII % * (up to 2 decimal places without % sign)

School Name *

Board Name *

Year of Passing *

Graduation Degree

Percentage % *

College Name *

University Name *

Year of Passing *

Degree Pursuing in CUG *

Stream *

1st Semester

Marks * (in numbers only)

Grades *

Total Maximum Marks *

Number of Active Backlog (in numbers only)

Total Number of Backlog (including those which have been cleared)

Organisation of Training * (Write NA if not Available)

Location of Training * (Write NA if not Available)

Profile of Training * (Write NA if not Available)

Industry and Sector I aim for Placement. Extra-Curricular Achievements

I Agree with all the Details, I fill above are true. If found I will be responsible against any action taken by training & Placement Department.

Select Agree option after filling all option correctly.

Upload Resume * (only in doc, docx, pdf format)

Upload Photo * (only in .jpg, .jpeg and .png)

Placement Form

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