, NATIONAL INSTITUTE OF TECHNOLOGY, ROURKELA

Training and Placement Centre

No. NITR/TP/AO/2015/M/524

Dated : 26.03.2014

N O T I C E

Attention: Pre-final year students of B.Tech., M.Tech. Dual Degree, M.Tech., M.Tech.(Res),

M.Sc(2 yrs.), M.Sc.(Integrated), M.A. & MBA.

The pre-final year students of B.Tech., M.Tech. Dual Degree, M.Tech., M.Tech.(Res), M.Sc.(2 yrs),

M.Sc.(Integrated), M.A. & MBA students are required to fill the RESUME SHEET for CAMPUS

PLACEMENT PROGRAM latest by 15th APRIL 2015.

The PDF file is editable, hence all the concerned students need to mail the soft copy to

tnpc.nitr@gmail.com, as well as submit the hard copy in the Office of TPC.

Soft Copy :

Do not try to upload photo or signature in the soft copy (write your name in the place of signature at the

end).

Hard Copy :

The resume sheet (print of soft copy) must be filled-in legibly & properly and be submitted in the Office of

T&P Centre with the following documents.

1. Xerox copies of Grade/Mark Sheets of all examinations starting from 10th Class.

2. Xerox copy of valid Cast (SC/ST/OBC) certificate.

3. One Passport size Photo.

The list of students and the necessary students profile sheet for placement will be prepared only after

receipt of these resume sheets (Soft copy & Hard copy).

For any query, contact the respective student coordinators.

Those who fail to do the same may not be included in the list for placement.

Sd/-

Administrative Officer

Training & Placement

CC:

1. All HODs 2. Notice Boards T&P Centre./Institute 3. Students mail(Resume Sheet attached)

NATIONAL INSTITUTE OF TECHNOLOGY

ROURKELA 769 008

RESUME SHEET 1. Full Name: Roll No.: [FIRST] [MIDDLE] [LAST]

2. Fathers Name:

3. Mothers Name:

4. Department: Blood Group:

5. Degree pursuing: B Tech M Tech (Res) MBA

M Tech M Sc (2 Years) MA

M Tech (DD) M Sc (Integrated)

Specialization:

6. Address @ NITR:

E-Mail: Mobile No.

7. Permanent Home Address: VILL/@: POST: P.S.: DIST.: STATE: PIN: TEL No.: MOBILE No.: (STD Code) (Number)

8. Date of Birth: 1 9 Sex: Male Female

9. Nationality: Height: Weight:

10. Category: SC* ST* OBC* [*Copy of proof must be attached] GENERAL

11. JEE Mains Rank (for B Tech students only):

GATE/JAM Rank (for M Tech/M Sc students only):

12. Mode of Admission

13. Academic Background (High School onwards): Examination Year CPI or %age Institution Board / University Subjects taken 10th 12th B Tech* B Sc / B A* (*For M Tech / M Sc / M A Students only)

14. Permanent Account Number (PAN): 15. Passport Details:

Passport No. ________________ Valid up to: ____________ Place of Issue: ______________

PTO

PHOTOGRAPH

:: 2 ::

16. SGPA & CGPA (Attach a copy of your latest Grade Sheet): I II III IV V VI VII VIII SGP CGP SGP CGP SGP CGP SGP CGP SGP CGP SGP CGP SGP CGP SGP CGP

17. List of Professional Courses taken beyond present curriculum:

(i) (ii)

(iii) (iv) 18. Details of Project Work / Summer Training etc.: 19. Scholastic Achievements: 20. Extra-curricular Activities: 21. Do you have any medical disability; including problems like eyesight, color blind, asthma etc.? If yes,

please mention in details. 22. Have you been in an ISDC hearing or faced disciplinary punishment of any kind? If any , mention them. The information given above is true to the best of my knowledge. ________________ __________________________________

Date Signature of the Student

Full Name: Roll No: Fathers Name: Mothers Name: Department: Blood Group: Specialization: Address NITR: EMail: undefined: VILL: POST: PS: DIST: STATE: PIN: TEL No: MOBILE No: Nationality: Height: Weight: undefined_2: undefined_3: Academic Background High School onwards: Year10th: CPI or age10th: Institution10th: Board University10th: Subjects taken10th: Year12th: CPI or age12th: Institution12th: Board University12th: Subjects taken12th: YearB Tech: CPI or ageB Tech: InstitutionB Tech: Board UniversityB Tech: Subjects takenB Tech: YearB Sc B A: CPI or ageB Sc B A: InstitutionB Sc B A: Board UniversityB Sc B A: Subjects takenB Sc B A: Passport No: Valid up to: Place of Issue: Check Box1: Check Box2: Check Box3: Check Box4: Check Box5: Check Box6: Check Box7: Check Box8: Text9: Text10: Text11: Check Box12: Check Box13: Check Box14: Check Box15: Check Box16: Check Box17: Text18: SGPRow1: CGPRow1: SGPRow1_2: CGPRow1_2: SGPRow1_3: CGPRow1_3: SGPRow1_4: CGPRow1_4: SGPRow1_5: CGPRow1_5: SGPRow1_6: CGPRow1_6: SGPRow1_7: CGPRow1_7: SGPRow1_8: CGPRow1_8: i: ii: iii: iv: Date: Text19: Text20: Text21: Text22: Text23: