Registration Form - Reliance Thermal Power Station, Dahanu

Dear Students, Register your name for Industrial Visit. You must carry your College Identity Card with you. Kindly follow the guidelines given by coordinators.

* Required

Enrollment No *
Example - 201504100710XXX


Full Name of Student *
Name then Father's Name then Surname


Gender *


• Male
• Female
Age *


Student Mobile No *
Example - 98765 43210


Parent's Name *
Name then Father's Name then Surname


Parent's Mobile No. *
Example - 99797 43211


Course / Semester *
Example - SYMBA Div.B (Semester 3)


Place from where you will join the tour *
Select appropriate


• College - Main Gate
• Bardoli - UTU Circle
• Surat - LP Savani School, Adajan
• Adajan
• Surat - Sahara Darwaja
• Kadodara
I hereby declare that I am joining this tour at my own risk and responsibility. For any kind of occurrence, my college/ University will not be responsible. *
Date on which you are filling up the form.


Month January February March April May June July August September October November December Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 1892 1893 1894 1895 1896 1897 1898 1899 1900 1901 1902 1903 1904 1905 1906 1907 1908 1909 1910 1911 1912 1913 1914 1915 1916 1917 1918 1919 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 2036 2037 2038 2039 2040 2041 2042 2043 2044 2045 2046 2047 2048 2049 2050 2051 2052 2053 2054 2055 2056 2057 2058 2059 2060 2061 2062 2063 2064 2065

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