GUJARAT TECHNOLOGICAL UNIVERSITY

(INTERNATIONAL INNOVATIVE UNIVERSITY)

TRAINING APPLICATION FORM

BOSCH CENTRE OF EXCELLENCE IN AUTOMATION TECHNOLOGIES

Date:-___/___/______
APPLICANT DETAILS

ENROLLMENT NO.(12 DIGIT):

APPLICANT NAME (IN CAPITAL):

MOBILE NO.:
E-MAIL ID :

COLLEGE NAME:

COLLEGE CODE:

BRANCH NAME:

Please Select any One Lab in which student would like to get training.

Lab. No. CoE Lab Name Tick any one

1 Pneumatic Lab.
2 Hydraulic Lab.
3 PLC Lab.
4 Mechatronics & Robotics Lab.
5 Sensor Lab.

Instruction for Student/Faculty:

 Each applicant have to remain present as per schedule and attend all time slots of training
without fail.
 Any request to change in schedule will not be entertained.
 Applicant have to come along with their institute I-Card. Applicant without I-Card will not be
entertained.
 Applicant will get the training of one lab in a single application.
Note:
 University will not provide any TA/DA to participant.
 Participant must attend all training session without fail to obtain certificate.

DECLARATION
I, hereby under sign, declare that, the entries made by me in the Application Form are complete and
true to the best of my knowledge.

Applicant Signature