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Interview IES GROUP OF

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Interview IES GROUP OF Powered By Docstoc
					        IES GROUP OF INSTITUTIONS
                    (Engineering, Pharmacy, Management)
                           INTERVIEW REQUEST FORM



Personal Profile:
Name                  :_________________________________________________
Father's/Husband Name :_________________________________________________
Permanent Address         :_________________________________________________
(Full with Pin Code)       ___________________________________Pin____________
Local Address             :_________________________________________________
                          ___________________________________Pin____________
Email-ID                  :__________________________________________________
Contact No.               :Ph. No. ______________ Mobile_______________________
Date of Birth             :________________Cast Category Gen/OBC/SC/ST________
Marital Status            :_________________________________________________
Academic Mirror:
 S. Educational Branch        Medium College/Board/University           Month &     Percentage
No.    Degree                                                           Year of      of Marks
                                                                        Passing




Teaching Experience (1) Name of Organization : _______________________________
                          Duration :__________________________________________
                       (2) Name of Organization : _______________________________
                          Duration :__________________________________________

Industrial Experience:    _________________________________________________
                          _________________________________________________
                          _________________________________________________


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Reference                     (1) :_______________________________________________
                                  ____________________ Contact No. ________________
                              (2) :_______________________________________________
                                  ____________________ Contact No. ________________
Last Salary Drawn                 :______________________________________________
Expected Salary                   :______________________________________________
Career Aspiration                 :______________________________________________
Strength                          :______________________________________________
Extra Curricular Activities       :______________________________________________
Probable Time for Joining         :______________________________________________
Campus Selection & Name of Company : ______________________________________
                                          ________________________Date:___________
Valid GATE Score-Y/N              : ____________________________________________
Want appear: Civil Service/UPSC/GRE/PSC Y/N: _____________________________
                                          DECLARATION
         I hereby declare that all the information's mentioned above and documents enclosed are
true and correct to the best of my knowledge.


Date:
Place:                                                          Signature of Candidate


Encls:-                                                                                 Status
01.      Two latest Photographs                                                         Yes /No
02.      Copy of Income Tax PAN Number : __________________                             Yes /No
03.      10th & 12th Mark-sheet                                                         Yes /No
04.      BE/B.Pharm Mark-sheet                                                          Yes /No
05.      M.Tech/M.Pharm/MBA Mark-sheet                                                  Yes /No
06.      Degree of Ph.D                                                                 Yes /No
07.      Experience Certificate / Relieving letter of previous institution.             Yes /No
08.      Copy of Degree                                                                 Yes /No
09.      Copy of Last Salary drawn/Salary Slip/Salary Statement                          Yes/No


                                                                  Signature of Candidate


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