JAI SHRIRAM ENGINEERING COLLEGE

TIRUPPUR – 638 660

Approved by AICTE, New Delhi & Affiliated to Anna University, Chennai
Recognized by UGC & Accredited by NAAC and NBA (CSE and ECE)

JSREC/IQAC/TPC/09
DEPARTMENT OF TRAINING AND PLACEMENT
PLACEMENT WILLING FORM

NAME OF THE STUDENT :

REGISTRATION NUMBER :
FATHER NAME :
BRANCH :
ADDRESS :

PHONE NUMBER :
E-MAIL ID :
LINKEDIN ID :

Affix your
ACADEMIC DETAILS photograph here

ACADEMIC % OF MARKS
CREDENTIALS
SSLC
HSC/DIPLOMA
B.E (Upto current semester)
CURRENT
BACKLOGS
HISTORY

I hereby declare

1) I will attend all the Training classes ( including holidays & evening) , assessments and practice questions to make myself eligible for the
placement process, in case any deviations are there I will accept the actions taken by placement in charge.
2) Location is not a constraint for me to attend the placement drive and join in any selected concern.
3) I will follow the instructions given by the placement coordinator and department.
4) I will ensure that I will attend both ON campus and OFF campus drive conducting through placement department
5) Never withdraw myself from the placement activity for any reasons.
6) In case of any indisciplinary activities for any reason, the authority of the institution may take punitive action against me.
7) I assure that I will get pass in the internal and semester examinations
8) In case of any emergency, leave can be availed with proper intimation
9) I assure that I will follow minimum 90% attendance in placement assessements.
10) Once I received an offer letter,I assure that I will work in the organization as per company norms and service agreement.

SIGNATURE OF STUDENT SIGNATURE OF PARENT WITH DATE

MENTOR COORDINATOR HOD TPO PRINCIPAL

Enclosure:Resume