Enquiry Form
Format S-1
HCL CAREER DEVELOPMENT CENTRE
ENQUIRY FORM
FOR OFFICE USE ONLY
CNTR CODE
DATE
M
M
Y
Y
ENQUIRY NO.
ENQUIRY NO.
D
D
M
M
Y
Y
Y
Y
TO BE GIVEN BY HCL CDC
FINAL REMARKS __________________________________________________
NAME OF STUDENT (FULL NAME
AS MENTIONED IN YOUR CERTIFICATES)
FIRST NAME
MIDDLE NAME
(USE BLOCK LETTERS ONLY.
LAST NAME
LEAVE ONE CELL EMPTY BETWEEN FIRST, MIDDLE AND LAST NAME)
RESIDENCE PHONE NO.
MOBILE NO.
9 1
E-MAIL ID (MANDATORY)
FATHER’S / GUARDIAN’S NAME
FIRST NAME
MIDDLE NAME
LAST NAME
RESIDENCE PHONE NO.
MOBILE NO.
9 1
CURRENT ADDRESS
HOUSE/FLAT /BLOCK NO.
( USE BLOCK LETTERS ONLY .
NAME OF BUILDING/VILLAGE/PREMISE
ROAD/STREET/POST OFFICE
LEAVE ONE CELL EMPTY AFTER EVERY SECTION)
AREA DETAIL
DISTRICT/ CITY/TOWN
STATE
PIN CODE
PERMANENT ADDRESS
HOUSE/FLAT /BLOCK NO.
( USE BLOCK LETTERS ONLY .
NAME OF BUILDING/VILLAGE/PREMISE
ROAD/STREET/POST OFFICE
LEAVE ONE CELL EMPTY AFTER EVERY SECTION)
AREA DETAIL
DISTRICT/ CITY/TOWN
STATE
PIN CODE
HOW DID YOU COME TO KNOW ABOUT HCL CDC?
NEWSPAPER
NEWSPAPER INSERT
CANOPY
PRESENTATION/SEMINAR
BANNER/HOARDING
CABLE AD
FRIENDS/FAMILY
TV
WEBSITE / E-M AILER
OTHER (PLEASE MENTION)
______________________________________________________________________________________________________________
Ver 1.0
HCL CDC Enquiry Form
Page 1 of 2 Pages
Enquiry Form
Format S-1
GENDER
MALE
DATE OF BIRTH
FEMALE
D
D
M
M
Y
Y
Y
Y
ACADEMIC DETAILS
MCA
BE/B TECH
POST GRADUATE
GRADUATE
UNDERGRADUATE
OTHER (PLS. SPECIFY) _________
START FROM THE LATEST ACADEMIC DETAILS I.E. FROM HIGHEST QUALIFICATION TO SECOND HIGHEST AND SO ON.
COMPLETED/
QUALIFICATION
SCHOOL/COLLEGE
BOARD/UNIVERSITY
PURSUING
EXP./ YEAR OF
COMPLETION
GRADE /
% MARKS
DETAILS OF IT PROGRAMS DONE
1.
PROGRAM __________ NATURE OF PROGRAM ________________________ INSTITUTE _____________YEAR _________
2.
PROGRAM __________ NATURE OF PROGRAM ________________________ INSTITUTE _____________YEAR _________
PROFESSIONAL EXPERIENCE
WORKING (GIVE DETAILS)
SERVICE
NON-WORKING (FRESHER)
SELF EMPLOYED
NAME OF PRESENT ORGANISATION ___________________________________ YOUR DESIGNATION _____________ ________
TOTAL EXPERIENCE SO FAR ______ YRS. _NATURE OF JOB ____________________________________SALARY ________/-MONTH
ADDRESS OF ORGANISATION ____________________________________________________________________________
URL _______________O FFICE CONTACT NO. ____________________ E-MAIL ID __________________________________
CAREER PREFERENCE
HARDWARE
NETWORKING
SOFTWARE
DATABASE ADMIN
ANY OTHER (PLS. SPECIFY) _________________
PROGRAM PREFERENCE
PART TIME
CAREER PROGRAM
HCNE (3 YRS.)
MODULAR PROGRAM
CCNA
MCSE
HCE (1 YEAR)
RHCE
DATE
FULL TIME
HCSE
ANY OTHER (PLS. SPECIFY) _____________
COMBO
ANY OTHER (PLS. SPECIFY) ____________
STUDENT SIGNATURE
D
D
M
M
Y
Y
Y
Y
PLACE ______________________
________________________
FOR OFFICE USE ONLY
PROGRAM RECOMMENDED__________________________ SLOT PREFERENCE_____________________
COUNSELLING REMARKS ______________________________________________________________
________________________________________________________________________________
COUNSELLOR’S NAME ____________________________ COUNSELLOR’S SIGNATURE ________________
FINAL REMARKS (ENROLLED / WON’T JOIN) 
Ver 1.0
HCL CDC Enquiry Form
Page 2 of 2 Pages