Industry Profile Registration

Institute Code
Institute Name
Institute Address
Name of Company
Address of Company
Email Address of Company
Contact Number of Company
Pin Code of Company
Location Details

Enter Area of Specialization of Company

Name of Contact Person

Designation of Contact Person

Email of Contact Person

Contact Number of Contact Person

Type of Product Service Industry/Manufacturing

Industry
Type of Control Government/PSU/Private
Type of Company Large Scale/Medium Scale/ Small
Scale

Total Number of Employees in C ompany

Region in which company reside Mumbai/Pune/Nagpur/Aurangabad/
Nashik/ Amravati
Whether willing to offer industrial training facility during May/June for Yes/No
Diploma in Engineering Students

Whether company offer 6 weeks training? Yes/No

Programme Civil Mechanical Electrical Computer/IT Electronics Chemical Textile Instrumentation Other Total
Engineering Engineering Engineering Engineering Engineering Engineering Group Engineering Engineering Group
Group Group Group Group Group Group

Male

Female
Total

Seal & Signature of Industry Person