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Interview Time Morning (Reporting at 9.00 AM) Tentative Panel No. Panel-6
RAKHI AGARWAL
Name (Block Letters):_____________________________________________________________________________________
(As per your last marksheet)
E-mail : agarwalrakhi23@gmail.com
_____________________________________________________________________
Applicants
7980380613 Photograph
Mobile : ________________________________________
Subhas Agarwal
Fathers Name :_______________________________________________________________________
A. EDUCATION Note : For the purpose of calculating Total Maximum Marks, Marks Obtainedand Aggregate Percentage of
Marks, please include marks of ALL SUBJECTS i.e. compulsory as well as optional (if any) for SSC, HSC & Graduation.
1
MENTION GRADUATION PRE-FINAL MARKS (Calculate all subjects marks (compulsory and optional) upto prefinal year
Name of the Exam Passed Duration Year of Passing Name of the Aggregate Marks
University/Institute Obtained (%)
C. WORK EXPERIENCE* (Only full-time job after graduation in a professional organization) as on 31.01.2017
Sr. Period (in months)
Organisation Position P.F. No
No. From To Total Months
1.
2.
3.
2
E.
RECEIVED BEST SEMINAR AWARD BY JD BIRLA INSTITUTE
ACHIEVEMENTS (IF ANY):______________________________________________________________________
SECOND PRIZE FOR ADVERTISEMENT MAKING IN INTER COLLEGE FEST
_______________________________________________________________________________________________
INTERNSHIP OF SIX MONTHS AS BUSINESS DEVELOPMENT EXECUTIVE IN TECHNARY.COM AND FESTVILLA.COM
_______________________________________________________________________________________________
RECEIVED FIRST AND SECOND PRICE FOR CREATIVITY IN DESIGNING BROCHURES IN INTER SCHOOL FEST .
_______________________________________________________________________________________________
Note : List of Documents (self-attested photo copies except Data Sheet) to be submitted to the interview panel in the sequence
as mentioned below
3. S.S.C Marksheet
4. H.S.C Marksheet
5. Graduation Marksheet
6. Proof for Grade conversion formula in case the same is not indicated in
the Grade report (If applicable)
Declaration:
I hereby declare that the information given by me in the form is true to the best of my knowledge and belief, and I am
aware that providing incorrect information may result in cancellation of the admission secured, any time during the
entire period of my study at the Institute of Management, Nirma University.
I Agree
kolkata
Place: ___________________
Signature of the Applicant
24-02-2017
Date : ___________________