VEER SURENDRA SAI UNIVERSITY OF TECHNOLOGY BURLA
(A UGC Recognized State Government University by an Act of Assembly, Estd. -1956)
P.O. Engineering College, Burla, Dist: Sambalpur, Odisha, (India) -768 018
www.vssut.ac.in. e-mail:
[email protected] APPLICATION FORM FOR T&P COORDINATOR
1. NAME:__________________________________________________
2. REGD NO: ______________________________________________
3. COURSE (BTECH/MTECH/MSc/MCA/B. Arch): _______________
4. BRANCH: _______________________________________________
5. CGPA (LAST SEMESTER) __________________________________
6. THE DOMAIN OF INTEREST IN ORDER OF PREFERENCE IN WHICH YOU
WANT TO WORK
(select any two domains in order of preference from the list mentioned at the end)
i. _________________________________
ii. _________________________________
I do hereby declare that all the information provided above are true to the best of my
knowledge. Further, I declare that no disciplinary action by the University has ever been
taken against me.
Signature of the student.
List of domain
Logistic
Alumni Interface
Company interface
Advertisement and Website
Before you submit you may interact in the T&P department regarding the
understanding of the domains
Attached a copy of your CV.