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Registration Form



Full Name:
Date Of Birth:
12th / Diploma Percentage:
Degree/Diploma:
Name of College:
Specialization:
Permanent Address:
Academic Project:
Placement Required?:
Yes   No
Mobile No.:
Email:
Course Interested:
DAE   CAE   CAP   CPP
Marital Status:
M   UM
Category
OBC   OPEN   OTHER
College Name:
Name of University:
Percentage of Last Appeared Exam:
Work Experience (If any):
Sr.No. Company Duration Designation Responsibilty Handled
1
2
Automation Knowledge (if any)

Automation Hardware:
Automation Software

Type the above number: