Vincor Life Sciences

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Academic Records (from Higher Qualification):

Degree / Diploma	Institution/University	Year-of-Passing	Subject	Percentage

Employee Details:

Previous-Employer	Date-of-Joining	Date-of-Resignation	Designation	Location	Salary-Drawn	Reason-of-Resignation

Attach Resume:

I hereby declare that I have never been convicted of any criminal or social offences.

I understand that false information automatically invalidates my applcation and that completion of this form entitles VINCOR to approach my past employers for references.

I agree that during the course of my interaction/interview, if I am privy to any confidential information of VINCOR, which may not be readily avaliable to competitors or the general public, I shall not divulge the sameto anyone. For this purpose, I am deemed to be covered under ILS non-disclosure agreement and in case of any damage happening to the organisation on account of my disclosure I shall be governed as per that clause of non-disclosure agreement.

Date:

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