Placement Registration Form Batch 2023-2025
Name (Capital Letters):
Roll No: Gender (M/F): DOB (DD/MM/YYYY): / / Age: years
Mob. No: Email ID:
Alt. Mob. No: Alt. Email ID:
Permanent Address:
Current Address:
Education Qualifications
School/ College Board/ University Marks (%)
Graduation
Sr. Secondary
Secondary
Others
Experience (Y/N) Company Designation Months
If not, choose one of the following options.
Applying for Placement Higher Studies Entrepreneurship Family Business Others – Please Specify
(Y/N) (Y/N) (Y/N) (Y/N) (Y/N)
Family Details Occupation Mobile No. Email ID
Father's Name
Mother's Name
I (Dr/Mr./Ms.) S/O or D/O with Roll No.
student of IIHMR University agrees to the terms and conditions of IIHMR University, Jaipur.
Date:
Place: Signature
Undertaking
1. I intend and am truly interested to register for placements provided by IIHMR University, Jaipur.
2. All details mentioned in the placement registration form and resume are true to my knowledge and
necessary action may be taken if any information provided by me is found to be false /misleading.
3. I would bring along all the necessary documents as required by the company during the interview process.
4. I will be on time and would come in formals for both the on-campus and off-campus recruitments. I shall
maintain discipline and strictly abide by the instructions given during the recruitment process.
5. I understand that I must give consent to attend interview(s) for companies coming for campus drive.
6. I understand that once I have been selected in a company I would not be allowed to appear for further
interviews.
7. Once I receive letter/ confirmation email regarding my selection/ job offer, I shall not attend any other
interview(s).
8. I would abide by the college rules with respect to attendance, examination, fee, summer training report etc.,
and would not give IIHMR University, Jaipur activities/ interviews as an excuse for non-compliance.
9. I agree to abide by the policies, terms and conditions of Placements Cell prescribed from time to time. If I
violate these rules/policies/agreements IIHMR University, Jaipur can take appropriate action that they
deemnecessary against me.
Dissertation and Internship
1. I understand that I must fill the organization preference form to pursue my Dissertation and Internship and
give consent to attend interview (s) for companies coming with the Internship Opportunity.
2. Once I receive letter / confirmation email regarding my Dissertation and Internship, I shall not attend or
approach any other Organization.
3. I understand that I must follow the guidelines prescribed for Dissertation and Internship by the University.
Roll No. Name:
Date:
Signature
Place:
