A FIELD VISIT REPORT
ON
(Name of Topic)
Submitted to the
Board of Technical Education Uttar Pradesh
By
(Name of Student)
Enrollment No- ---------------------
In the partial fulfillment of the requirement for the award of Diploma of
Pharmacy under the guidance of
---------------------------------------------------------------
S J INSTITUTE OF PHARMACY, KANPUR
(College Code: 3398)
(2024-2025)
DECLARATION
I, ___________________, hereby declare that the matter embodied in the
assignment report submitted to the Board of Technical Education,Lucknow,is
done by me and the assignment has been composed by me under the supervision
of --------------------------------------------------------------------------------------------------------.
I also declare that the same has not been previously formed in the basis for the
award of any degree and diploma of this or any other University or Institutions.
Date:
Place: Kanpur (Name of Student)
CERTIFICATE
This is to certify that Name of Student has carried out the field visit presented
in this Field Visit Report for the award of Diploma of Pharmacy from Board of
Technical Education Uttar Pradesh under my supervision. The Field Visit
Report carried out by student himself and the content of the report do not form
the basis for the award of any other degree to the candidate or to anybody else.
Date: Name of Faculty with Designation
Place: Kanpur
CERTIFICATE
This is to certify that Name of Student has carried out the field visit presented in
this Field Visit Report for the award of Diploma of Pharmacy from Board of
Technical Education Uttar Pradesh under the supervision of Name of faculty
with designation.
Date: Dr. Ashish Kumar Varma
Place: Kanpur Director
Appendix – 2
A typical format for the assessment of a Field Visit Report
Name of the College:
Name of the Student:
Academic Year of the Student:
Name of the Subject:
Name & full address of the
organization visited:
Date and Duration of Visit:
Name & Designation of the Evaluator:
Signature of the Evaluator with Date:
Objectives set for the field visit: (give 2 – 4 objectives one by one)
Prior preparation of the student for the field visit: (minimum 100 words)
Describe the general experiences during the field visit: (minimum 100 words)
Learning points: Describe what theoretical concept that is correlated during
the field visit: (minimum 300 words)
INDEX
S.N Topic Page No.
o.