Registration of
Industrial Visit
Name of the College
*
Required
Enter Valid Name. Do not use special characters
Address
*
Required
Enter Valid Address
Year of Study
*
Required
No Special Characters Allowed
Branch of Study
*
Required
No Special Characters Allowed
No of students
*
Required
Please Enter Numeric in Member Count
Members should be greater than zero
Desired date for training
*
Required
Please Enter Valid Date
Contact Details
Name of the Co-ordinator
*
Required
No Special Characters Allowed
Phone No
*
Required
Enter valid Phone Number
Mobile No
*
Required
Please Enter Valid Mobile Number
Enter valid Phone Number
FAX No
Email ID
*
Required
Enter Valid Email
Verification Code
Enter Verification Code
*
Upon registering BSNL representative will call the co-ordinator for fixing the Course!
