Request for Industrial/Field Visit

School
Programme/Batch
Proposed Date of Visit
Venue

Purpose of Visit (Learning

Outcomes)

No. of Students Day Scholars Boarders

Names of Faculty Members

Deputed for the Visit

Departure Time from GDGU

Arrival Time at GDGU
Date of Submission*

Remarks:.........................................................................................................................................................
..........................................................................................................................................................................

(Dean)
Approved/Not Approved

(Vice Chancellor)
* Kindly submit this request at least four(04) working days in advance in the office of the Vice Chancellor.