Placement Information and Student Declaration Form
This file is used to provide details of potential work placement sites and includes a student declaration. It is designed for students who need to participate in voluntary service. The form must be filled out accurately to avoid disqualification from the program.
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How do I fill this out?
To fill out this form, provide the details of two potential work placement sites, and complete the student declaration section. Make sure to include all necessary information and signatures. Follow these steps to ensure your application is complete.

How to fill out the Placement Information and Student Declaration Form?
1
Provide details of two potential work placement sites.
2
Fill out the student declaration section.
3
Include all necessary information and signatures.
4
Verify the information provided is accurate.
5
Submit the completed form.
Who needs the Placement Information and Student Declaration Form?
1
Students needing to fulfill voluntary service requirements.
2
Applicants to the JAMVAT program.
3
Individuals seeking placement in government or non-profit organizations.
4
Students required to participate in evaluation studies by SLB/JAMVAT.
5
Candidates for financial assistance programs looking to verify their information.
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What are the instructions for submitting this form?
Submit the completed form to the designated email address, fax number, or physical address provided in the instructions. Make sure all fields are filled out accurately and include necessary signatures. Follow any additional submission guidelines provided on the official website. It's advisable to keep a copy of the submitted form for your records.
What are the important dates for this form in 2024 and 2025?
For 2024 and 2025, ensure that placement information is submitted before the deadline for voluntary service registration. Check the official website for specific dates.

What is the purpose of this form?
The purpose of this form is to collect details about potential work placement sites for students required to complete voluntary service. It ensures that students are placed in approved locations and that they understand the terms of their participation. Accurate completion of this form is crucial for eligibility in related programs.

Tell me about this form and its components and fields line-by-line.

- 1. Name of Organisation: The name of the organization where the placement is to occur.
- 2. Relationship to Applicant: The relationship of the organization to the applicant, such as employer or volunteer coordinator.
- 3. Address 1: The primary address of the organization.
- 4. Address 2: Additional address information if needed.
- 5. Name of Placement Supervisor: The name of the supervisor at the placement site.
- 6. Telephone Number(s): Contact phone numbers for the placement site.
- 7. Email Address: Email contact for the placement site.
- 8. Signature & Stamp of Placement Representative: Signature and stamp from the representative of the placement site.
- 9. Student Declaration: Section where the student agrees to terms and conditions of the placement and program participation.
- 10. Name of Applicant: The full name of the student applicant in block capitals.
- 11. Signature of Applicant: The signature of the student applicant.
- 12. Name of Witness: The full name of a witness in block capitals.
- 13. Signature of Witness: The signature of the witness.
- 14. Date: The date the form was completed, in dd/mm/yy format.
What happens if I fail to submit this form?
Failure to submit this form may result in disqualification from the program and loss of benefits. Ensure timely and accurate submission to avoid issues.
- Disqualification: You may be disqualified from the program if the form is not submitted.
- Loss of Benefits: You may lose financial assistance and other benefits associated with the program.
How do I know when to use this form?

- 1. JAMVAT Program Application: Required for all applicants to the JAMVAT program.
- 2. Voluntary Service: Needed for students fulfilling voluntary service requirements.
Frequently Asked Questions
How do I fill out the placement information?
Provide details about two potential work placement sites, including names, addresses, and contact information.
What is the student declaration section?
The student declaration section includes statements that the student must agree to, such as participating in mandatory activities and using funds for the intended purpose.
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Use the PDF editor to click on text fields and input your information. Save your changes when done.
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Yes, you can use the signature tool to draw or upload your signature and sign the document.
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Use the share button on PrintFriendly to email or share your document on social media.
Who needs to fill out this form?
Students who need to complete voluntary service, JAMVAT program applicants, and individuals needing placement at approved organizations.
What information is required about the work placement sites?
Include the name of the organization, address, relationship to the applicant, supervisor’s name, and contact information.
What happens if the information provided is false?
Providing false information may lead to disqualification from the program and forfeiture of rights to payment and future opportunities.
How do I submit the completed form?
Submit the form by following the instructions provided, which may include email, fax, or physical address submission.
What are the key components of this form?
The form includes placement information, student declaration, and fields for organizational and personal information.
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