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Industry Institute Interaction Cell
Type of Interaction *
Course *
Branch *
Semester *
If student select Semester, If faculty select NA
Year of admission *
Here enter the year of admission to the course you joined, for Faculty please type NA
Your answer
University Register Number *
Here enter the year university register number here, for Faculty Please enter designation
Your answer
NAME OF THE INDUSTRY PLANNING TO VISIT *
Please provide the city example, BPCL, Kochi
Your answer
NAME OF STUDENT/ FACULTY *
Your answer
PERIOD OF VISIT FROM *
If the Interaction is planned give the tentative dates
MM
/
DD
/
YYYY
PERIOD OF VISIT TO *
MM
/
DD
/
YYYY
Is this dates confirmed by Industry *
Email Id for correspondance *
Please insert the email id for further correspondance
Your answer
Mobile number for correspondance
Please enter the person to contact if any correspondence from industry received
Your answer
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