Vidushi Gyaanpeeth

Placement Registration Form

Please read this form carefully before filling in the details. Fill the details in BLOCK LETTERS.
Name : ________________________________________________________________________________________
(Full name to be written as required on final certificate)

Sex M F Date Of Birth:

Permanent Address : Photograph

Local / Present Address :

Permanent Phone No.: Land Line No. Mobile No :

Write the name of the contact person in case of emergency: Ph. No:
Qualification : Stream : Email ID :

th
Percentage: th 12 % YOP Grad. % YOP Post Grad.% YOP
10 % YOP

TECHNOLOGY REGESTERED FOR REG. CHARGES PLACEMENT CHARGES

12.5% of Annual CTC

Other Skill Sets :

Total Experience: ________ Relevant Experience:____________ Current Company Name_________________
Current Sal:___________ Expected Sal:______________ Notice Period: _______
SPECIAL REQUESTS / RECOMMENDATION ( If any) :

Pl Note: All the candidates will have to pay 12.5% of Annual Salary as placement charges after the confirmation with the respective company.
Candidates will have to deposit the PDC”s / a declaration note / application for the approval of the same.

I Certified that the above details are true to the best of my knowledge. Above details have been verified and found correct. The
I am clear with the rules & regulations of Vidushi Gyaanpeeth and agree Candidate meet all the criteria and is recommended
to abide by the same. I also understand that I am solely liable to for the registration.
consequences if any rising out on non-compliance.

Signature of the Candidate Date Signature of Centre IN Charge Date