FORM FOR APPROVAL OF CONCESSION

(TO BE FILLED IN BY STUDENT)

Name:__________________________________________ _________VGLD Reg. No. ________________________________ Paste one Latest
Passport Size
Contact No.:________________________________ Subject: ____________________________________________________
Photo
Center where the student is enrolled: _____________________________Fee at Center: _____________________

Amount of Desired Concession: _________________________________________________________________________

Reason of Concession (Use Separate Sheet, if required): ________________________________________________________________

________________________________________________________________________________________________________________________________

Supporting Documents attached to substantiate the reason for concession, if any: __________________________________

(Signature of Student)

DETAILS BY CENTER

Whether center In charge agree with student explanation and information: Yes No

Explanation of Center In charge: __________________________________________________________________________________________

________________________________________________________________________________________________________________________________

Amount of suggested Concession: _________________________________________________________________________________________

Undertaking: I, owner/ authorized person of the franchisee of VGLD, hereby declare that I have verified that the
student deserves the discount / concession. I undertake that to the best of my knowledge and belief, nothing has
been misstated and concealed therefrom.

(Name and Signature along with Rubber Stamp of the Center)

CONCESSION APPROVAL BY HEAD OFFICE

Concession Given to student: In Amount ____________________________ In Percentage _______________________________________________

Remark: __________________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________________________

(Name and Signature along with Rubber Stamp of the Director)

(For Head Office (Account Department) use only)

Whether Concession updated online: Yes No

Whether concession considered for Commission payment: Yes No

(Signature and Rubber Stamp of Authorized person at Head office)

Regd. Off.: 4E/10,, Jhandewalan Extn., Near Videocon Tower, New Delhi – 110055

Ph.: 011-48123333, 9599983115, 9599983116 Email: mail@vinodguptaclasses.com Website: www.vglearningdestination.com