LI 1 – Industrial Training Application 2019/2020 – Student Portal

LI 1 – INDUSTRIAL TRAINING APPLICATION FOR ALL UG STUDENTS EXCEPT FSL STUDENTS

REGISTRATION DEADLINE ON THE 20TH NOVEMBER 2019

LI 1 - Industrial Training Application 2019/2020

Personal Details
Name*
Identity Card No.*
Registration ID No.*
Faculty / Centre
Programme
Contact Details
Address*
Telephone No. (Home)
Telephone No. (Mobile)*
Email*
Training Place (1st Choice)
Name of Organisation (FOU - 1st Choice Placement)
Name of Organisation (FAL - 1st Choice Placement)
Name of Organisation (FEKIM - 1st Choice Placement)
Name of Organisation (FPPI - 1st Choice Placement)
if other please specify (1st Choice Placement)
District (1st Choice Placement)
Address (1st Choice Placement)*
Contact No. (1st Choice Placement)*
Fax No. (1st Choice Placement)
Email (1st Choice Placement)
State why you choose this organisation (1st Choice Placement)*
Training Place (2nd Choice)
Name of Organisation (FOU - 2nd Choice Placement)
Name of Organisation (FAL - 2nd Choice Placement)
Name of Organisation (FEKIM - 2nd Choice Placement)
Name of Organisation (FPPI - 2nd Choice Placement)
if other please specify (2nd Choice)
District (2nd Choice Placement)
Address (2nd Choice Placement)*
Contact No. (2nd Choice Placement)*
Fax No. (2nd Choice Placement)
Email (2nd Choice Placement)
State why you choose this organisation (2nd Choice Placement)*
Training Place (3rd Choice)
Name of Organisation (FOU - 3rd Choice Placement)
Name of Organisation (FAL - 3rd Choice Placement)
Name of Organisation (FEKIM - 2nd Choice Placement)
Name of Organisation (FPPI - 3rd Choice Placement)
if other please specify (3rd Choice Placement)
District (3rd Choice Placement)
Address (3rd Choice Placement)*
Contact No. (3rd Choice Placement)*
Fax No. (3rd Choice Placement)
Email (3rd Choice Placement)
State why you choose this organisation (3rd Choice Placement)*
Student Declaration
Signature*
Date*
- I declare this is my choice to attend my industrial training course in this organisation. If my application did not supported by Dean / Director / Industrial Training’s Unit, I am willing accepted Dean / Director / Industrial Training’s Unit decision. If I have been accepted to undergo my Industrial Training Programme, I would not move to other organisation or other division in the organisation without permission and direction from organisation supervisor and notification from UNISSA.

LI 1 – Industrial Training Application 2019/2020

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LI 1 - Industrial Training Application 2019/2020

Personal Details

Contact Details

Training Place (1st Choice)

Training Place (2nd Choice)

Training Place (3rd Choice)

Student Declaration

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