Online Requisition Form for Industry

* Fields are Mandatory

 
Name of Company:*
Address of Company:
Telephone Number:*
Type of Requirement:*
Number of Trainees Required:* Male Female
Period of Requirement (In Months):*
Starting From Date:*  Calendar
Type of Trainees:*  
Factory Location for Placement:*
Address of Factory for Placement:
Contact Person at Factory:
 
Facilities Provided by the Company:
Accommodation facility for Boys/Girls: Yes No
Pick up and drop facility to the factory: Yes No
Cooking Facility for Migrants: Yes No
Canteen Facility in the Factory: Yes No
Gross Salary:
Other Perks and Bonuses:
 

Trainee Status Till Date
Enrolled
 
 
 
 
 
5
 
9
 
6
 
1
 
Completed
 
 
 
 
 
5
 
4
 
8
 
7
 
Placed
 
 
 
 
 
4
 
9
 
5
 
6
 
Placements in Progress
 
 
 
 
 
 
 
 
0
 
Undergoing Training
 
 
 
 
 
 
 
 
0
 
Dropped Out
 
 
 
 
 
 
4
 
7
 
4
 
 
As on: 23 November, 2017
 
 
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