(To be filled by the applicant in
his/her own handwriting clearly
and completely)
Trainee Application Form
(Technical Trainee)
College/Institute & City :IIT KANPUR
Current Course & Specialization :BTECH-ME
Flexibleto all LTI Development Center/ Customer Site : Yes-yes No
FULL NAME IN BLOCK LETTERS Dateof Birth Age
(DD-MM-YYYY)
Mr. / Ms. / Mrs. Ms. Aditi Verma
18-08-2003 21
Title (NAME) (MIDDLE NAME) (SURNAME)
Physical Challenges: Major illness/
Nationality: Stateof Domicile: Marital Status: (If Any) operations so far:
Indian Uttar Pradesh Unmarried
PERSONAL DETAILS
Languages Known:hindi,English Any Outstanding Academic/Extra-curricular Achievements:
Strong Technical Subjects: (Eg: Java, DBMS etc.) Technical Certifications Details of Projects Undertaken(In brief):
(if any):
C,C++,Javascript,[Link],react,js, ML libraries
Family Background: Name Age Relationship Occupation Organization
Atul Kumar Verma 53 father Business man
(Please give full details of
family members including Rekha Verma 52 mother housemaker
parents, spouse, siblings and
other dependents)
Qualification Specialization Institute Name University/ Month and Year Fulltime Course % or CGPA Total No. of
Board of Passing (Yes/No) ATKT/
Backlogs
SSC/X NA Ascent public school CBSE March 2019 Yes 88.4 NA
HSC/XII KDMA international CBSE March 2021 Yes 93.4 NA
Diploma
Graduation IIT KANPUR July 2026 Yes 6.6 0
Post-Graduation
Current course details (Semester-wise): BE/BTech/MCA/BSc/BCA Aggregate Percentage in the current course:
Academic Year Year/Semester No. of ATKT/ % of marks Academic Year Year/Semester No. of ATKT/ % of marks Total No. of Backlogs
Backlogs Backlogs (Dead and live)
throughout
Diploma+Graduation+
2022 1st 0 5.8 2024 5th 0 7.5
Post Graduation:0
2023 2nd 0 6.5 2025 6th ongoing ongoing
2023 3rd 0 5.3 2025 7th
2024 4th 0 6.7 2026 8th
I declare that the information given above is true to the best of my knowledge and I understand that any false information, misrepresentation or
omission of facts called for in this application, or other company records may result in my immediate dismissal without notice even if subsequently
employed. ==YES
I authorize the company to do any kind of background verification of my education, experience or references.
Date: ………02-04-2025…………………..
Place: ………Kanpur…………………. Signature: Aditi Verma…………………