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Application Form For Graduate Engineers

Note: All fields marked (*) are mandatory, please type “NA” if not applicable.

Payment Details

  1. Online payments: Enter the reference number EXACTLY as given in the payment aknowledgment by the Bank. Click here for Online Payment
  2. Cash/Cheque Payments: Enter the receipt number given in the challan counterfoil. If you do not have an acknowledgment number, please call 0832-2520986.Scan and mail a copy of the challan counterfoil to ims@imsgoa,org.
  3. Payment to be made at any branch of HDFC Bank. Candidate should download, print out and fill the HDFC payment challan. Click here to Download HDFC Cash Deposit Slip | Click here to Download HDFC Cheque Deposit Slip .
Click payment mode
Click check box
For payments by cheque/cash-please write the HDFC Bank branch name For online payments please type N.A.
DD/MM/YYYY

Choice of Examination Centre

Full Name of the Applicant

  1.  Name to be as given in Class X certificate with all initials expanded.
  2. Your Diploma/Degree should carry the same name.
  3.  First Name:It is the name given to you.
  4.  Middle Name:Any other name,but not the surname
  5.  Surname: It is the family name which is common to all members.
  6.  If there is no middle name, it has to be left blank.
  7.  If there is no surname, i.e. you are known by a single word name, then middle name and surname to be left blank.
Your passport size colour photograph in JPEG format (maximum 120×160 pixels) and file size less 20 KB
If there is no residential phone, than enter parents mobile

I Belong To

Parent's Details

Please consult your parents before filling combined annual income of parents.

 Personal Details

Age( as on 2nd Dec.,17)

DD/MM/YYYY
1. You can apply without having a passport at present.
2. You are advised to apply for the same immediately if you do not have it.
dd/mm/yyyy
( Father, Brother, Uncle)
If 'Yes' you have to produce a placement letter from the company at time of interview.

Educational Attainments

NOTE: Please fill up all the Educational Qualification's that you posses - Class X, Class XII, Diploma Engineering, Graduate Engineering.

Class X
YYYY

Class XII
Select 'NA' if not studied Class XII
If Class XII in Other Stream Please Specify.
MM/YYYY
Combined % of Marks in Physics, Chemistry and Maths

Diploma Engineering
Select 'NA' If Not Studied Diploma.
If Diploma in Other Stream Please Specify.
MM/YYYY

Degree In Engineering
MM/YYYY

Percentage marks of all Degree semesters

If results are declared yearly then fill in II / IV / VI / VIII

Note: If result is awaited for any semester, please write 'RA' for that Semester.

1.% of marks rounded off to full integer to be filled in. 2.Those having CPA/CGPA single digit grades have to convert it to %. 3.Conversion formula has to be printed on the reverse of the   marksheet OR has to be certified by the College Principal and submitted during document verification. 4. Aggregate % has to be calculated by totalling marks obtained (for the semester results declared)and divided by Maximum marks.It is NOT an average of all the percentages obtained semester wise.

YYYY
Other Information NOTE: (All attainments to be supported by Documents at the time of Document Verification) Total Work Experience:
How Did You Know About IMSGOA
Please Check box all the sources of information about IMSGOA
If other source than please specify
Validate and Submit

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