FEDERAL UNIVERSITY OF TECHNOLOGY OWERRI STUDENT INDUSTRIAL WORK EXPERIENCE SCHEME (SJWES) PLACEMENT FORM SECTION A: To be completed by the Student 4. NAME OF STUDENT: DEPARTMENT: Tel No... 2 REG. NO: SECTION B: To be completed by the EstablishmenUCompany. 3. NAME OF ESTABLISHMENT/ORGANIZATION OFFERING PLACEMENT 4. MAJOR ACTIVITIES OF ESTABLISHMENT/ORGANIZATION 5. ADDRESS OF ESTABLISHMENT/ORGANIZATION (EXACT LOCATION PLEASE). 6. _ ESTABLISHMENT/ORGANIZATION IS WILLING TO ACCEPT STUDENT (NAME OF STUDENT) ee ESTABLISHMENT CAN OFFER INDUSTRIALFARM EXPERIENCE IN THE FOLLOWING SPECIFIC AREA: a $$ 8. PROBABLE DURATION OF ATTACHMENT. NAME OF ESTABLISHMENT OFFICER OFFERING PLACE TO STUDENT: 40. DESIGNATION OF OFFICER; 41. COMPANY STAMPIDATE: $$$ $a @ $$ SECTION C: To be completed by the student's Institution. 42. NAME OF UNIVERSITY STAFF RESPONSIBLE FOR ARRANGING SIWES-PLACEMENT (OR MRS NDIDI-PASCHAL .O. ANYAOHA) 43. ADDRESS WHERE THIS FORM SHOULD BE RETURNED. SIWES UNIT, FEDERAL UNIVERSITY OF TECHNOLOGY, OWERRI DAE DR. (MRS) NDIDI-PASCHAL 0. ANYAQHA Sc, M.Sc, Ph Bi ScMiy Sines Co-ordinator (08033396100 .