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CR Bridge Placement Solutions CR Bridge Placement Solutions CR Bridge Placement Solutions CR Bridge Placement Solutions

This document contains an application form for training and recruitment programs in clinical research, healthcare management, and information technology at CR Bridge Placement Solutions in Pune, India. The application requests personal details like name, date of birth, address, education history, work experience, and payment details. It also includes a declaration by the applicant and space for office use to record test scores, interview details, and comments.

Uploaded by

Jenny Taylor
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
11 views

CR Bridge Placement Solutions CR Bridge Placement Solutions CR Bridge Placement Solutions CR Bridge Placement Solutions

This document contains an application form for training and recruitment programs in clinical research, healthcare management, and information technology at CR Bridge Placement Solutions in Pune, India. The application requests personal details like name, date of birth, address, education history, work experience, and payment details. It also includes a declaration by the applicant and space for office use to record test scores, interview details, and comments.

Uploaded by

Jenny Taylor
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
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CR BRIDGE PLACEMENT SOLUTIONS

11,12, F Wing, Parmar Trade Centre, Sadhu Vaswani Chowk, Camp, Pune.

Application Form
Fill the form in BOLD Letters
Attach separate sheet if required

This application is to be considered for:


Training and Recruitment Program in Clinical Research

Training and Recruitment Program in Healthcare Management [

Training and Recruitment Program in Information Technology

A. Personal Particulars
1. Name: ______________________________________________________________________________________
(First Name)

(Middle Name)

(Surname)

2. Date Of Birth: _____________________ 3. Place of Birth: _____________________ 4. Age: ________


5. Permanent Address: ___________________________________________________________________________
________________________________________________________________________________________________
Mobile: ______________________ Email :____________________________________________________________
6. Mothers Name: ______________________________________________________________________________
7. Correspondence Address: _____________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
B. Educational Information:
School/College/University

Place

Examination Appeared

Marks

Year of Passing

Please specify if there has been any discontinuity in your educational career. Indicate type of activity undertaken during this duration.
________________________________________________________________________________________________________________________

C. Work Experience:
Sr. No.

Organization

Designation

From

To

D.Payment Details:
Application Fees Paid: Cash / Cheque / DD / Pay Order (Select your mode of payment)
Details:
Cheque/DD/Pay Order No. : ____________________ Dated: ___________
Drawn On Bank: _________________________________________________________________________________
Declaration:

I.

I hereby declare that the information given above is correct.

II.

I understand that application fees is non refundable if candidate fails the examination or dose not
enroll for program he/she has applied for.

III.

I shall abide by the terms and conditions of the Recruitment Examination.

IV.

I undertake, that if at any stage, it is found to the satisfaction of the authorities that the information
given by me is false or if I violate the terms and conditions of the company, my candidature may be
cancelled.

Signature of the Candidate

Date:

Place:

For Office Use Only:


Only:
Marks Obtained in Selection Test:
Total:
Particulars:
General aptitude:

English:

Domain:

Interview Details:
Name of Interviewer: ____________________________________________ Designation:______________ Time:_________ Date: ___________
Interview Comments:
Level of Confidence:
Location Preference:
Other Comments: ________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________

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