Industry Profile Registration

Institute Code
Institute Name
Institute Address

Nameof Company
Address of Company

Email Address of Company

Contact Numberof Company
PinCodeof Company
Location Details
EnterAreaof Specialization of Company
Nameof Contact Person
DesignationofContact Person
Emailof Contact Person
Contact Numberof Contact Person
Typeof Product Service Industry/Manufacturing Industry
Type of Control Government/PSU/Private
Typeof Company LargeScale/MediumScale/Small Scale
TotalNumberof Employees in Company
Regioninwhichcompanyreside Mumbai/Pune/Nagpur/Aurangabad/
Nashik/ Amravati
Whether willingto offer industrial training facility Yes/No
duringMay/Junefor DiplomainEngineering
Students
Whethercompanyoffer6weeks training? Yes/No
Programme Civil Mechanical Electrical Computer/IT Electronics Chemical Textile Instrumentation Other Total
Engineering Engineering Engineering Engineering Engineering Engineering Engineering Engineering
Group Group Group Group Group Group Group Group
Male

Female

Total

seal & Signature of Industry Person