PLACEMENT DECLARATION FORM

I, SHRUTI HITESHBHAI GHORI, Enrollment no. 21SS02IT021 Studying in School of

SCIENCE, P P Savani University, in B.SC IT Department hereby declare that information
submitted in the prescribed format to the Training & Placement Committee, School of
SCIENCE are true and correct to the best of my knowledge.

I would like to state that I do require placement assistance through campus. I

assure you that I shall obey all rules and regulations of industry and University.

I would like to state that I do not require placement assistance through campus
due to following reason:

Sr. no. Reasons Tick Mark (√)

1 Joining family business after graduation

2 Pursuing higher studies after graduation (India)

3 Pursuing higher studies after graduation (Foreign)

4 Starting own Venture/ Business

With above Information, I, SHRUTI HITESHBHAI GHORI, hereby submit this Declaration
form to the Training & Placement Committee, School of SCIENCE.

Thank You

_______________________________ ______________________________

Student’s Signature Parents Signature