| 1. Name |
|
2. Sex |
Male Female |
| 3. Date of Birth |
 |
|
|
| 4. Present Communicating Address
(Please furnish detailed mailing address) |
|
|
| Pincode |
|
Landmark |
|
| 5. E-Mail Official |
|
6. E-Mail Personal |
|
| 7. Prmanent Address (Please furnish
detailed mailing address) |
|
| Pincode |
|
Landmark |
|
| 8. Courses studied in CUCSE |
|
9. Year of Joining CUCSE |
|
| 10. Year of Passing CUCSE |
|
11. Occupational Status |
|
| 12. Current Profession |
|
13. Current Designation |
|
| 14. Name of the
Company/College/Institution/Organization (Initials not
allowed) |
| |
| 15.Company/College/Institution/Organization
Address |
| |
| Pincode |
|
Landmark |
|
| 16. Company Contact Number |
|
17. Company FAX Number |
|
| 18. If you have been an employee in
a company for less than one year (unless you have joined the
service in the current year), please furnish the last TWO
company/college/institute/organization details for which you
had been working: |
| (a) From (Specify Year) |
|
To (Specify Year) |
|
| Name of the
Company/College/Institution/Organization (Initials not
allowed) |
| |
| (b) From (Specify Year) |
|
To (Specify Year) |
|
| Name of the
Company/College/Institution/Organization (Initials not
allowed) |
|
|
