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proformafortheaffiliationwith
PROFORMA FOR THE AFFILIATION WITH
GUJARAT TECHNOLOGICAL UNIVERSITY
ACADEMIC SESSION 200__ - 200__.
Date : _________________
To,
The Registrar,
GUJARAT TECHNOLOGICAL UNIVERSITY
ACPC Building, L.D. College of Engineering Campus,
Navrangpura, Ahmedabad 380015.
Sub : Application for affiliation of various courses of this Institution with GTU for the
Academic session 200__ - 200__.
1. Details of the Institution :
Name : __________________________________________________________
Address : __________________________________________________________
: __________________________________________________________
: __________________________________________________________
Pin Code : ______________________________
Telephone Nos. : __________________________
Fax No. : ______________________________
Web site : __________________________________
E-Mail : __________________________________
Name of the Director/Principal : _______________________________________________
2. Type of Institute: A. Govt. B. GIA C. SFI
3. Details of the Promoting Trust/Society (in case of option B or C in above 2.):
Name of the Chairman/Secretary : ______________________________________________
Name of the Trust/ Society : ____________________________________________
Address : ___________________________________________________________
: ___________________________________________________________
: ___________________________________________________________
Pin Code : _____________________________
Registration No of the Trust/Society : ___________________________________________
Telephone Nos. : __________________________
Fax No. : _____________________________
Web site : _________________________________
E-Mail : _________________________________
4. Academic Programmes for which Affiliation is sought
Existing Courses
Course Title Existing Intake (2008-09) Duration of the Course (Years) Year of Co
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