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Basic Details
Enrollment Date
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Unique Id Proof
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Aadhar Card
Pan Card
Voter ID Card
Unique Id Proof Number
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Full Name
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Email Address
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Phone
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Gender
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Male
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Date of Birth
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Address
Current Address
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City
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State
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Andhra Pradesh
Andaman and Nicobar Islands
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadar and Nagar Haveli
Daman and Diu
Delhi
Lakshadweep
Puducherry
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Punjab
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Sikkim
Tamil Nadu
Telangana
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Uttar Pradesh
Uttarakhand
West Bengal
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Pan India
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Same as Current address
Permanent Address
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City
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State
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Andhra Pradesh
Andaman and Nicobar Islands
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadar and Nagar Haveli
Daman and Diu
Delhi
Lakshadweep
Puducherry
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
N/A
Pan India
PIN Code
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Education Qualifications
College Name
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Government Engineering College, Dahod
Government Engineering College, Modasa
Vishwakarma College of Engineering Ahmedabad
Government Engineering College Rajkot
Government Engineering College Bharuch
Lalbhai Dalpatbhai College of Engineering
Shantilal Shah Engineering College, Bhavnagar
Government Engineering College, Patan
Government Engineering College Daman
Government Engineering College, Bhavnagar
Indrashil University
Dharmsinh Desai University Department of MCA
Rashtriya Raksha University SITAICS
ITM Vocational University
Government Engineering College, Valsad
P P Savani University
Sitarambhai Naranji Patel Institute of Technology & Research Centre
Sarvajanik College of Engineering and Technology
Birla Vishwakarma Mahavidyalaya Engineering College
Dr Subhash University
R N G Patel Institute of Technology
Parul University
Educational Qualification
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B.A.
B.A. + LL.B Integrated Law Course
B.A. Liberal Arts
B.Arch
B.Com.
B.E. Aeronautical Engineering
B.E. Automobile Engineering
B.E. Biotechnology Engineering
B.E. Civil Engineering
B.E. Computer Science and Engineering
B.E. Data Science
B.E. Electrical and Electronics Engineering
B.E. Electronics and Communication Engineering
B.E. Information Technology
B.E. Mechanical Engineering
B.E. Power Electronics
B.Pharm
B.Sc- Applied Geology
B.Sc- Liberal Arts
B.Sc. Bioinformatics
B.Sc. Botany
B.Sc. Chemistry
B.Sc. Computer Science
B.Sc. IT
B.Sc. Physics
B.Sc. Physiotherapy
B.Sc. Radiology
B.Tech- Aeronautical Engineering.
B.Tech- Automobile Engineering.
B.Tech- Biotechnology.
B.Tech- Civil Engineering.
B.Tech- Computer Science and Engineering.
B.Tech Electrical and Electronics Engineering.
B.Tech- Information Technology.
B.Tech Mechanical Engineering.
B.Tech. Electronics & Communication.
Bachelor of Design (B. Design)
Bachelor of Performing Arts
BBA- Bachelor of Business Administration
BBS- Bachelor of Business Studies
BCA
BDS- Bachelor of Dental Surgery
BEM- Bachelor of Event Management
BFA- Bachelor of Fine Arts
BFD- Bachelor of Fashion Designing
BJMC- Bachelor of Journalism and Mass Communication
BMS- Bachelor of Management Science
BPT- Bachelor of Physiotherapy
BSc Agriculture
BSc Biotechnology
BSc Clinical Research & Healthcare Management
BSc Forestry
BSc Microbiology
BSc Nursing
BSc Zoology
BSW- Bachelor of Social Work
BTTM- Bachelor of Travel and Tourism Management
B.E. Information Science
MCA
Others
Please specify other qualification.
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12th/ Intermediate Percentage
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UG precentange(till last semester)
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PG precentange(till last semester)
Semester
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Pre-Final
Final
Annual Family Income (Per Annum)
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Below 5,00,000
5,00,000-6,50,000
6,50,000-8,00,000
8,00,000-10,00,000
Above 10,00,000
Income Certificate Available?
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Yes
No
No of Family members (including you)
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The profession of Chief Wage Owner
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Government
Private
Self-Employed
Other
Please Specify Other profession of Chief Wage Owner
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Who is Highest educated in family?
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Father
Mother
Sibling
Grand Father
Grand Mother
Highest Educated Qualification in Family
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Primary
Secondary
UG
PG
Track
Please choose the track you are interested in
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Applied Cloud Computing for Software Development
Industrial Artificial intelligence with cloud computing
Family Details
Guardian’s Full Name
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Guardian’s Mobile(digits only)
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Relationship with guardian
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Parent
Sibling
Relative
Grandparent
Other
Category
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General
OBC
SC
ST
EWS
Other
Other Information
Do you have access to laptop/desktop?
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No
Please select yes or no.
Do you have Internet access?
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Yes
No
Please select yes or no.
Are you a TCS Led YEP participant?
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No
Please select yes or no.
Declaration
All the information above is true to my knowledge.
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I disclose the information willingly for it to be used by the authorities for the purpose of the program. Also, the authorities have the right to use the pictures, videos and above mentioned details for media surveys.
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I will adhere to guidelines and complete the program.
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