Practical Training

Form B: Students Group Details

Practical Training 2015-16
B.Tech. Sem. VI (Civil Engineering)
DETAILS OF STUDENTS GROUP
(A Group will have four students)

1.

Contact Information:
Details

Student-1

Student-2

Student-3

Student-4

Name
Roll No.
Contact
Address
Contact
Phone No.
Email ID
2.

3.

Preference for Place of Practical Training (as 1, 2, 3, 4.)

(1) In and around Ahmedabad:
(2) At other place in Gujarat:

(3) Outside Gujarat:

(4) Any other Place:

If willing to go away from Ahmedabad, give choice for three major cities :
In Gujarat :
1. ________________
2. ________________
3. ________________
Outside Gujarat :
1. ________________
2. ________________
3. ________________
Any other Place :
________________________________
(The choice is being collected from student, with the objective of helping student to maximum extent. It may / may not be possible to allot
the site accordingly, as the site allotment would be based on availability of sites.)
Signature of Student 1

Department of Civil Engineering

Signature of Student 2

Signature of Student 3

Institute of Technology

Signature of Student 4
Nirma University