BIRLA INSTITUTE OF TECHNOLOGY AND SCIENCE, PILANI (RAJASTHAN) PRACTICE SCHOOL DIVISION PS-II Preference Entry Form for

First Semester, 2011-2012 ID No: CGPA: Home Address : Note: (i) Enter only the Corresponding PS-II Station Code against Your Preference Number. (ii) Enter the Assignment Number in Order of Priority from Problem Bank for which you have Skill Sets. Name: Phone No. (Mobile): Phone No. (Home):

Stn. PS-II Stn & Location code 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 20North Online, Bangalore Abexome Biosciences, Bangalore Adaequare Info Pvt. Ltd., Hyderabad Aditya Auto products & Engg (I) .P.Ltd. , Bangalore Aditya Birla Chemicals Ltd, Thailand Aditya Birla Corporate IT, Mumbai Aditya Birla Corporate World Class Manufacturing, Mumbai Aditya Birla Financial Trade Services, Mumbai Aditya Birla Insulator, Halol(Baroda) Aditya Birla Retail Ltd., Mumbai Aditya Birla Science & Technology Company Ltd., Mumbai Administrative Staff College of India, Hyderabad Agilent Technologies, Manesar Airbus Engineering center India , Bangalore Alliance Infotech Pvt. Ltd., Delhi Alpha Beta Labs, Bangalore Altair Engineering India Pvt. Ltd., Bangalore Amazon Development Center, Chennai Amazon Development Center, Hyderabad Amazon Development Centre, Bangalore Analog Devices, Bangalore Ankur Scientific Energy Systems, Baroda Anu Labs, Hyderabad Apex Decisions, Bangalore Apigee, Bangalore Apna Technologies & Solutions, Bangalore ARCIs Centre for Fuel Cell Technology, Chennai ARDC Design Complex - HAL, Bangalore Ariose Software Pvt. Ltd., Noida Arista Networks India Pvt. Ltd., Bangalore ARKA IMS Pvt. Ltd., Hyderabad ARM, Bangalore Aruba, Bangalore Atidan Technologies, Mumbai Aujas Networks Pvt. Ltd, Bangalore Aujas Networks Pvt. Ltd., Delhi Austria Microsystems India Design Center, Hyderabad Avaya India, Pune Avon Corporation, Mumbai Beardsell Ltd., Chennai Beardsell Ltd., Hyderabad Beardsell Ltd., Mumbai Bevcon Wayors Pvt. Ltd., Hyderabad Bharat Dynamics Ltd. (BDL), Hyderabad Bharat Forge Ltd., Pune Bharti Beetel Teletech, Delhi Biocon, Bangalore Biophore India Pharmaceuticals Pvt. Ltd., Hyderabad Birla Copper, Dahej (Gujarat)

Pref. No 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49

Stn. code 152 350 55 210 80 32 33 176 334 21 68 318 294 338 183 197 20 246 314 30 102 35 293 14 233 86 304 174 337 57 215 168 193 28 77 69 258 332 151 103 153 189 132 1 305 124 291 251 222

Assignment No(@) 1

PS-II Accommodation Entry Form for First Semester, 2011-2012 Note: The letter Y stands for YES and the letter N stands for NO. Write Y if you have your own accommodation and write N if you do not have your own accommodation.
S. No. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 Center Name Accommodation (Y / N) S. No. 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 Center Name Accommodation (Y / N)

Ahmedabad Babrala(UP) Bangalore Barmer Baroda Bhubneshwar Chandigarh Chennai Cochin Coimbatore Dahej (Gujarat) Dehradun Delhi Dubai France Goa Greater Noida Gurgaon Guwahati Halol(Baroda) Harihar, Karnataka Hazira Hosur Hubli Hyderabad Indore Jaipur Jamnagar Jodalli (Karanataka) Kalyan(Mumbai)

Kolkata Kota Kotputli Lucknow Manesar Mohali Mumbai Nagda Nagpur Narketpally Nashik Noida Panth Nagar (Gujarat) Patna Pilani Pune Renusagar (UP) Roorkee Satara Singapore Sirsi (Karnataka) Tadipatri Thailand Udaipur USA Vallabh Vidyanagar Valsad Veraval Vijayawada Vijaynagar

Important: Have you already got a placement offer: If YES name of the Company and Place: It is appreciated that you may have certain needs and factors such as monetary considerations, personal and family problems or any other matter which you would like us to keep in mind while arriving at the final allotment decision. (Mention clearly on a separate sheet.) Y N

Date: Place:

Signature of Student

Please note that unsigned form will not be accepted.