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APPLY for Industrial Visit to Mundra Port during 25-26 November 2015 (FIRST COME FIRST SERVE BASIS ONLY)

Dear Students,
Fill completely form below to APPLY yourself for Industrial Visit to Mundra Port during 25-26 November 2015.
ONLY FIRST 76 STUDENTS WHO APPLY, FILL ALL INFORMATION CORRECTLY, ON 23 OCTOBER 2015 AFTER CLASS ANNOUNCEMENT AND AFTER CONFIRMATION BY COLLEGE, SUBMIT PER PERSON AMOUNT RS 1000 /- by Monday 26 October 5.00 pm, WOULD BE SELECTED FOR VISIT.
PER PERSON AMOUNT = (Mundra Registration Fees + Transportation To and From Ahmedabad). Amount do not cover refreshments and meal to and from Ahmedabad. After Ahmedabad, Adani shall bear all expenses.
AS PER POLICY OF MUNDRA PORT, ONLY 76 STUDENTS CAN PARTICIPATE IN INDUSTRIAL VISIT AND WE NEED TO SEND FINAL STUDENT NAMES WITH FEES WITHIN 2-3 DAYS.
ADANI WILL CANCEL THE VISIT DUE TO LESS NUMBER OF STUDENTS. HENCE, NO CHANGES WOULD BE ACCOMMODATED AFTERWORDS. ADANI WILL ALSO CANCEL THE VISIT DUE TO ANY INDISCIPLINE BY STUDENTS.
Keep referring MBA NoticeBoard for updates of this visit.
TENTATIVE SCHEDULE: 24 Nov 2015, late evening Departure from Bardoli AND 27 Nov 2015, early morning Arrival at Bardoli
Best Wishes,
Dr. Jitesh Parmar

* Required

YOUR FULL NAME *
First Name Middle Name Surname


YOUR GENDER *
Select one option from below.
Male Female

YOUR BIRTH DATE *
Write as per following Format only - Day/Month/Year dd/mm/yyyy


YOUR ENROLLMENT NUMBER *
Write below your complete 15 digit enrollment number - 201404100710XXX


YOUR MOBILE NUMBER *
Please Write your correct mobile number below.


FULL NAME OF YOUR PARENT *
First Name Middle Name Surname


CONTACT NUMBER OF YOUR PARENT *
Please Write correct contact number of your parent below.


IF SELECTED, ARE YOU READY TO PAY RS 1000/- FOR VISIT BY 26 October 2015, 5.00 pm? *
Select below your choice
Yes No

IF SELECTED FOR VISIT, CHOOSE BELOW YOUR BUS PICK-UP POINT. *
Select below your choice.
Bardoli Surat Kamrej

IF SELECTED FOR VISIT, WILL YOU ABIDE BY ALL RULES AND REGULATIONS DURING VISIT LAID DOWN BY ADANI GROUP AND OUR DEPARTMENT UNIVERSITY? *
Select below your choice.
Yes No


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With regards,

Mulchand Sen (+91 99791 56055)

Assistant Professor - Department of Management - SRIMCA

Training and Placement Officer- Uka Tarsadia University

                      www.utu.ac.in