CANDIDATE INFORMATION FORM & HALL TICKET
POSITION
TRAINEE ENGINEER
HALL TICKET NO
NVL C RECKON 0*12= 0 NCR
POOLED CAMPUS HOST INSTITUTE (VENUE)
G.L.Bajaj Instit t! "# T!$%n"&"'( & Mana'!)!nt (GLBITM) P&"t N". *+ Kn",&!-'! Pa./ III+ G.!at!. N"i-a+ Distt. G.B.Na'a.+ U.P. In-ia. Pin0*12314. PH N". 5 12*10*3*3626.
S!&!$ti"n P."$!ss5 (a) Registration Process (b) Written Test ( Aptitude, Technical ) (c) Technical Interview (d) HR Interview Dat!5 22nd Januar 2!"#$ (Wednesda ) R!7".tin' Ti)!5 215 11 AM Please note that the %&andidate In'or(ation )or( * Hall Tic+et, has 2 page(s)$ &andidates have to bring the hall tic+et in the e-act 'or(at as provided b .icco /entures with all the page(s)$ Hall Tic+ets in di''erent 'or(ats will strictl not be ac+nowledged * accepted during the recruit(ent process$
Please affix your passport sized photograph with signature. Signature should start outside the photograph & end within the photograph without which the hall ticket will be considered as invalid.
CANDIDATE NAME ( )IR0T .A12 ) DATE OF BIRTH (3351156666) CONTACT PH. NO. (With 0T3) ADDRESS B.TECH INSTITUTE 9TH STANDARD (:) B.TECH SEMESTER <ISE BREAK0UP B.TECH PERCENTAGE (:) SEMESTER <ISE BACK LOG SEMESTER <ISE BREAK UP (;8N) B.TECH STREAM B.TECH UNIVERSIT;
Declarations:
( 1I3342 .A12 ) GENDER (M8F) CONTACT MOBILE NO.
( 4A0T .A12 )
;EAR OF PASSING 2ST SEM *ND SEM
9IITH STANDARD (:) 3RD SEM =TH SEM
;EAR OF PASSING >TH SEM 4TH SEM ?TH SEM
BACK LOG (;8N)
ENGG PERCENTAGE (:) @ As "n -at!A
I hereby declare that the foregoing information are correct and complete to the best of my knowledge and belief and nothing has been concealed. If at any time, i am found to have concealed any material information or given any false details about myself, i understand that my appointment shall be liable to summary termination without any notice or compensation thereof to me. ------------------------------------------------Signature of the candidate: Instructions: Candidates are requested to make 2 copies of the Candidate Information Form & Hall Ticket and complete both the copies with all relevant details & photo raph! "lease submit one cop# of this form dul# filled in durin the re istration process! The other cop# of Hall Ticket will be collected durin the written test or interview process Candidates are requested to carr# the $alid Identification%Colle e I& 'which has photo raph( for Identit# proof! "lease note that failure to brin the identification with photo raph & the form dul# filled in would disqualif# them from appearin for the selection process! "lease read the compan# profile) vacanc# details & instructions thorou hl# in the ne*t pa es! Date:
Official Seal Signature Of !uthority "erifying the Information above On behalf of the institute
Si'nat .! O# T%! A t%".it( "n B!%a&# "# t%! instit t! ,it% s!a&+ na)! & -!si'nati"n
DISCLAIMER C NICCO VENTURES w .I&&7 /2.T8R20 does not co((it or guarantee an 9ob to an candidate o' the institute while per'or(ing its responsibilities within the scope o' the wor+ in this initiative$ w The )inal recruit(ent will be carried out through b the corporate depending : (atching with their satis'action * e-pectation with the candidate$ w .I&&7 /2.T8R20 (at an stage) in no wa will in'luence:inter'ere or pla an role in the recruit(ent : selection process o' the corporate:e(plo er$ w .I&&7 /2.T8R20 does not co((it an vacanc in an 'or( 'ro( an particular co(pan or organi;ation under this initiative$ w The selected candidates will not have to pa an 'ees or a(ount to an part concerned in this recruit(ent drive$ w I' a candidate is o''ered 'ro( this recruit(ent drive under this initiative (also when the candidates accepts the o''er), the candidate will not be entitled to appear 'or an other recruit(ent process as organi;ed b .I&&7 /2.T8R20 in ter(s o' P4A&212.T (&A1P80) 08PP7RT I.ITIATI/2$ w .I&&7 /entures will not be responsible 'or an change (ade b the recruiting organi;ation in ter(s o' recruit(ent o''er or 9oining status at a later stage$
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