APPLICATION FORM FOR SIP/ PROJECT/ DISSERTATION

1. Name &Address for Communication- ASIT EKKA, AT/PO – CHIKATMATI, SUNDARGARH,

ODISHA 770031

2. Contact No – 8917448265
3. Email ID – asitekka13@gmail.com
4. Stream- MBA

5. Area of Specialization - FINANCE

6. Area chosen for SIP /Dissertation – FINANCE

7. Arrangement of SIP (By Self / By IIPM) – BY SELF

8. If own Arrangement-
I. Name &Address of the company – THE URBAN CO-OPERATIVE BANK LIMITED,
RAJGANGPUR

II. Name & Designation of the official on whose name the letter is to be issued- BRANCH
MANAGER RAJGANGPUR

Email id – www.ucblrgp@gmail.com

III. Last date of Submission of Letter – 12 JULY 2021

9. Any other assistance needed from the Institute: -

Forwarded By Academic Head Approved By The Director

For Office Use Only

Signature of Faculty Guide -