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Willingness Proforma

Applicable Category :



Name : First Name :   Last Name :  
Gender :
Category :
Present Designatrion :  
Name of Organization :  
Email :  
Mobile : +91  
Education Qualification :

 
Degree
(Only write highest degree)
College / University Year of Passing

     

 
Area of Interest :
Preferable time during which you will like to opt to visit State's Engineering & Polytechnics Colleges :    
Ex. 10:10 AM

 
The areas where you will like to assit the technical education department :





Choice of Place (Please tick mark)
Engineering Collages @ :

 
Polytechnics Collages @ :



 
 
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