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50 Field Project, Study Tour, I V Application Form
50 Field Project, Study Tour, I V Application Form
50 Field Project, Study Tour, I V Application Form
F / IIPC / 011
Rev.00 Date 20.03.2020
Page 1 of 2
Date :
Ref. No. -
Industry Details:
Name of the Industry Contact Person in Industry Address / Contact Number of
Industry
Curriculum Relevance :
( Linked Subject / PO /PSO /CO)
Faculty Details:
Accompanying Staff Designation Contact Number
Transport Details:
Mode of Transport Name of the Travel agency and Address
( Enclose Transport Form)
By Bus / Train
Check List:
S.No Documents to be enclosed Coordinator Verification Remarks & Signature
of Coordinator
1. Industries to be visited and respective
permissions
2. List of Student with Signatures
3. Complete itinerary
4. Boarding & Lodging Reservation details
5. Parent’s Declaration Form
Date:
To,
The Registrar
Dr.M.G.R. Educational and Research Institute,
Maduravoyal,Chennai-600095.
Subject: Submission of “Industrial Tour Undertaking”- Reg
Dear Sir,
We, Mr / Mrs.____________________________________parents of
Studying in semester of Dept. of your University, hereby
voluntarily submitting the undertaking. We are aware that our son/ daughter is participating
in the said industrial tour organized by the institute scheduled from______________ to
_____ with our full acceptance. We shall ensure that our son/ daughter
shall abide by the University rules and regulations and shall obey the instructions of the
faculty members who are accompanying the industrial tour / Educational tour.
We also declare and confirm that the University will not be held responsible in the event of
any misfortune/ accident/ personal injuries involving our son/ daughter and take full
responsibility of any damage to the property or accident/ personal injuries to the other
person as a result of our son/daughter’s negligent act during the period of the tour.
Your’s Truly