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Coordinator Form

This document is an application form for the T&P Coordinator position at Veer Surendra Sai University of Technology, Burla. It requires students to provide personal information, academic details, and their preferred domains of interest. Students must also declare the truthfulness of their information and attach a copy of their CV before submission.
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0% found this document useful (0 votes)
20 views1 page

Coordinator Form

This document is an application form for the T&P Coordinator position at Veer Surendra Sai University of Technology, Burla. It requires students to provide personal information, academic details, and their preferred domains of interest. Students must also declare the truthfulness of their information and attach a copy of their CV before submission.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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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.

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