Annexure- XII

External Supervisor Details Performa

Part A-Student Details

 Student name: ____________________
 Registration number: ______________
 Batch year: _______________________
 Contact number: __________________
 E-mail ID: _________________________
 Duration of On-job Training/Internship : One term Two Term

Part B- External Supervisor Details

 Name of Supervisor: ____________________

 Designation of supervisor: ___________________
 Name of organization: ________________________
 E-mail ID of supervisor: __________________________
 Contact number of supervisor: _______________________

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