bio data form final(bme)
TRANSCRIPT
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Student Profile - BiomedicalBatch:
VINAYAKA MISSIONS UNIVERSITY
Vinayaka Missions Kirupananda Variyar Engineering
College
SALEM 636 308
Programme B.E. (BIOMEDICAL ENGINEERING)Purpose Profile
Please attach a
color
photograph
that has been
taken within
the last 3
months
Name of the StudentRegister Number
Student Mobile NumberBatchName of the Tutor Ward
Tutor Ward Designation
GENERAL
Date of Birth( Day/Month / Year )
Height(cms)
Gender Male / Female
Weight (kg)
Identification Marks 1) 2)
Student E-mail ID Blood Group
Nationality Religion
Caste Community
Fathers Name Occupation
Mothers Name Occupation
Fathers MobileNumber
Phone (Res)
Fathers E-mail ID
Guardians Name E-mail ID
Guardians MobileNumber
Occupation
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Student Profile - BiomedicalBatch:
ADDRESS FOR COMMUNICATION
Permanent Address
Student MobileNumber
(Permanent) :
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________ PIN
Present Address
Student MobileNumber
(TamilNadu) :
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
________________________________________________________________________
_________________________________________________________________________
_________________________________________ PIN
Guardian Address_________________________________________________________________________
_________________________________________________________
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_________________________________________ PIN
EDUCATIONAL QUALIFICATIONS
Secondary And / Or Hig h er Seconda ry
Examination
Board / InstitutionYear ofPassing
Marks
Obtained
Out of(Total)
%
S.S.C. orEquivalent
H.S.S.C. orEquivalent
Diploma
Examination BoardYear ofPassing
% ofMarks
Class awarded
1s Sem.
2nd Sem. Dip.
3rd Sem. Dip.
4th Sem. Dip.
5 Sem.
6 Sem.
Under Gra d uation
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Student Profile - BiomedicalBatch:
ExaminationTotal Actual
Marks
TotalAcquire
% ofMarks
Year ofPassing
Class awarded
1st Sem. B.E
2nd Sem. B.E
3 rd Sem. B.E
4 th Sem. B.E
5th Sem. B.E
6th Sem. B.E
7th Sem. B.E
8th Sem. B.E
Over All Percentage
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Student Profile - BiomedicalBatch:
SEMESTER WISE INDIVIDUAL SUBJECT MARK DETAILS
FIRST YEAR
Subject Name Subject Year of Passing Marks
Percentag Total Acquired Marks
THIRD SEMESTER
Subject Name Subject Year of Passing Marks
Percentag Total Acquired Marks
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Student Profile - BiomedicalBatch:
FOURTH SEMESTER
Subject Name Subject Year of Passing Marks
Percenta Total Acquired Marks
FIFTH SEMESTER
Subject Name Subject Year of Passing Marks
Percenta Total Acquired Marks
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Student Profile - BiomedicalBatch:
SIXTH SEMESTER
Subject Name Subject Year of Passing Marks
Percentage Total Acquired Marks
SEVENTH SEMESTER
Subject Name Subject Year of Passing Marks
Percenta Total Acquired Marks
EIGHTH SEMESTER
Subject Name Subject Year of Passing Marks
Percenta
geTotal Acquired Marks
COLLEGE RELATED DETAILS
Date of Joining( Day /Month / Year )
Yearly Tuition Fee 1) 2) 3) 4)
Other Fee 1) 2) 3) 4)
Yearly Hostel Fee 1) 2) 3) 4)
Library Account Monthly Mess Fee
Hostel Room
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Student Profile - BiomedicalBatch:PLACEMENT PARTICULARS
OFFERS RECEIVED:
Company Name :
Location :
Designation :
Salary per Annum :
Date of Joining :
ON CAMPUS ATTENDED
Sr.
No.Date
Company NameResult
F CAMPUS ATTENDED
r.o.
Date Company Name Place Result
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Student Profile - BiomedicalBatch:
TRAINING PARTICULARS
INPLANT TRAINING
Have you undergone Inplant training? YesNo
If yes, provide details below
Sr.No.
Name of OrganizationPeriod
From To
TRAINING PROGRAMS ATTENDED
Sr.No.
Date
Name of the Program PlaceFrom To
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Student Profile - BiomedicalBatch:
ACADEMIC PROJECT
Mini Project Title :
UG Project Title :
Software Package :Hardware Package :
Diploma Project Title :
Software Package :Hardware Package :
CONFERENCE / SYMPOSIUM / WORKSHOP / SEMINAR ATTENDED
Sr.No.
Date andYear
Nature of
theProgram Title of the paper National /International OrganizedBy No. ofDays
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Student Profile - BiomedicalBatch:
Plans for the future :
Interests, Hobbies or anything else :
Platforms (OS) :Programming Languages :
Software package :
Assembly Language :
College Alumni Details :
Student Signature -------------------- HOD Signature with Seal
FAMILY DETAILS:
Name Relation Age Qualification Occupation
ADDITIONAL QUALIFICATIONS & INFORMATIONS, IF ANY: