DITM - Placement Registration Form

Registration form for 2014 Passing Students

Please fill the data carefully

Personal Information

Select One:
First Name:*
Middle Name:
Last Name:*
Date of Birth:*
Phone No.:*
Alternate Contact No:
House No:
Street / Lane:
City:
State:*
Email ID:*
Alternate Email ID:
10th Percentage:*
Percentage of Marks 10th:*
Year of Passing 10th:
Percentage of Marks 12th:*
Year of Passing 12th:
Percentage of Marks in B.Tech (Till Last Result):
Year in Passing-out in B.Tech :*
Degree Discipline :*
Desired Profile :*