IndustrIal

Visit OrganizatiOn Meena circuit pvt. ltd.,

Vadodara AcAdemic YeAr 2018-19

Date of Visit 11/02/2019 Course B.Tech-EC/ee/ict

SemeSter 2nd&4th No. of StudeNtS 53 (17 Girls +36 Boys) No. of faculties 3 (1 Female+2 Male)

INDUSTRIAL VISIT/CULTURAL VISIT/ FIELD TRIP/STUDY TOUR/OUT BOUND TRAINING APPROVAL FORM

College Name of the Applicant Person ID Date CGPIT EC Department --- 11-02-2019

Kindly read the Guidelines for Industrial/Cultural Visit Approval before fill the form

1 Type of Visit/Tour : Industrial Visit

2 Date & Time of Departure : 11-02-2019 at 5:30 A.M.

3 Date & Time of Arrival : 11-02-2019 at 10:00 P.M.

4 Address & Phone Nos. (for contact) : Meena Circuit Pvt. Ltd., Vadodara-391520

5 Mode of Travel : Bus (Enclose details in Annexure 1)

6 Copy of Approval letter from Industry : Yes (Enclose details in Annexure 2)

7 Accompanying Faculty Details and Undertaking Letter

: Yes (Enclose details in Annexure 3)

8 List of Students Male/Female : Yes (Enclose details in Annexure 4)

9 Accommodation Details with Confirmation letter

: Yes (Enclose details in Annexure 5)

10 Faculty/Students Trained in First Aid/ Handling Fire Extinguishers

: No

11 Undertaking Letter From Students : Yes (Enclose details in Annexure 7)

12 Approval from Programmer Chair/Division Leader

:

(Sign with Seal)

13 Approval from Dean/Director :

(Sign with Seal) Note: The Form should be submitted two weeks prior to the departure (Check List)

Mode of

Travel

Approval -

Industry

Faculty Details

Students Details

Undertaking Students

Undertaking Faculty

Accommodation Safety Training

Annexure 1 Mode of Travel

Sl.No Details Mode of Travel Travel Details with Phone number of Agent and Driver Phone Number

Responsible Person Handling

1. Surat to Vadodara and Return Journey

UTU Bus Rakesh Bhai (97260 00603)

Jayesh Munjani Mayank Kapadia Krupali Umaria

Annexure 2 Copy of the Approval Letter from Industry

- Should contain clear date, time and number of days of Visit - Letter should be by the authenticated person from the Industry minimum at Manager Level with seal.

Annexure 3 Accompanying Faculty

Sl.No Name of the Faculty/ Designation Male/Female Contact Mobile

Number and Email Alternate Contact In case of Emergency

1. Ms. Krupali Umaria (Asst. Professor) Female 9377601343 - 2. Mr. Jayesh Munjani (Asst. Professor) Male 8460875520 - 3. Mr. Mayank Kapadia (Asst. Professor) Male 9998213089 -

UNDERTAKING LETTER - FACULTY

We here-by undertake that the Industrial Visit/Cultural Visit/ Field Trip/Study Tour/Out bound Training is purely academic

related and at any case .

We shall undertake full responsibility of the student’s actions and behavior at all times during the course of Industrial

Visit/Cultural Visit/ Field Trip/Study Tour/Out bound Training. We further undertake not to breach the safety guidelines of

the Uka Tarsadia University at any cost.

Sl.No Department Faculty Name Signature

1. EC Ms. Krupali Umaria (Asst. Professor)

2. EC Mr. Jayesh Munjani (Asst. Professor)

3. EC Mr. Mayank Kapadia (Asst. Professor)

Annexure 4

List of Students Details Sr.No Enrollment No. Name Of Students Mobile

Number Male/ Female

Special Problem If Any

1. 201803100610001 Roshankumar Yogendraprasad Yadav 7202807364 Male 2. 201803100610002 Rajkumar Jayeshkumar Rupawala 9558536100 Male 3. 201803100610004 Daminiben Rajeshbhai Gamit 8758085276 Female 4. 201803100610005 Sandeepbhai Ramanbhai Rohit 7226003738 Male 5. 201803100610008 Abhishek Balraj Dalmotra 7490878191 Male 6. 201803100610009 Kishore Pranavkishore Satyam 7717758827 Male 7. 201803100610010 Vikas Rajeshkumar Maurya 8140765386 Male 8. 201803100610011 Sagar Brijlal Kamal 8160353021 Male 9. 201803100610012 Smitkumar Parmar Smitkumar 8758925483 Male 10. 201803100610014 Jai Kumar Jai 8569932006 Male 11. 201803100610016 Agrawal Sapna Agrawal 7573806383 Female 12. 201803100610018 Pedduri Sairam Pedduri 9662751149 Male 13. 201803100710003 Sumeetkumar Patel 8200710449 Male 14. 201803100710004 Rathi Ambika Ramawtar 7567167938 Female 15. 201803100710005 Krishna Nitinbhai Patel 7575045414 Female 16. 201803100710006 Rahul Bindal 8824566300 Male 17. 201803102710001 Amipara Sohamkumar Bipinbhai 7043850619 Male 18. 201803102710002 Buha Milankumar Ratilal 8347886830 Male 19. 201803102710004 Tejani Mit Babubhai 7046403898 Male 20. 201803102710005 Shah Mitul Tejasbhai 9337918403 Male 21. 201803102710006 Vakhariya Chinmay Mukeshkumar 6355711135 Male 22. 201803102710007 Pillai Gokul Gopinathan 9638895064 Male 23. 201803102710008 Patel Chirag Shaileshbhai 7874543474 Male 24. 201803102710009 Saumya Nlanj Desai Female 25. 201803102710013 Desai Devansh Urmil 7990144286 Male 26. 201803102710015 Suthar Dhruvil Pankaj 6354190046 Male

27. 201803102710016 Bhakta Priya Nutankumar 9913264265 Female 28. 201803102710018 Dobariya Priya Kanubhai 6359572435 Female 29. 201803102710019 Navadiya Zinkle Rajubhai 7041858448 Female 30. 201803102710020 Vanshika Jathar 7046873441 Female 31. 201803102710022 Mangukiya Bhavdip Hasmukhbhai 8320891365 Male 32. 201803102710024 Shaikh Uzair Mohammed Sabir 6353557783 Male 33. 201803102710025 Challa Srivalli Prabha 7043653173 Female 34. 201803102710026 Multani Sahil Samirbhai 8488865666 Male 35. 201603100710008 Desai Prit 8320380234 Male 36. 201603100710031 Patel Smit Sanjaykumar 6351455635 Male 37. 201703100710003 Bakuli Chavan 8320689800 Female 38. 201703100710004 Patel Priyanka Suresh 9727743105 Female 39. 201703100710005 Dhakecha Reema Sureshbhai 7069992109 Female 40. 201703100710008 Bariya Nensi Ashwinkumar 9737631062 Female 41. 201703100710011 Anjali Rathi 9687955797 Female 42. 201703100710013 Deepak Chaudhary 9227551647 Male 43. 201703100710017 Amrutha S 7016802979 Female 44. 201703100710018 Priyanshi Subhashbhai Gavli 8320664921 Female 45. 201703100710019 Vikas Vishwakarma Male 46. 201703100710021 Vaghani Raj Mukeshbhai 7016816749 Male 47. 201703100710022 Dhola Jay Babubhai 9624624333 Male 48. 201703100710023 Zalavadiya Meet Dilipbhai 9723297109 Male 49. 201703100710024 Rupareliya Viren Narsinhbhai 7046135526 Male 50. 201703100710025 Kadali Umang Damu 6351231308 Male 51. 201703100710026 Moradiya Akshay Maheshbhai Male 52. 201703100710030 Thakor Rutviksinh Hitendrasinh 7623814942 Male 53. 201703100710031 Surti Robin Vijaybhai 9328511418 Male

Annexure 5 Accommodation

Sl.No Name of Hotel/Guest House

Address and Phone Numbers Responsible Person Handling

Remarks

1. - - - - * Attach the accommodation booking copy

Annexure 6 Faculty/Students Trained in First Aid/ Handling Fire Extinguishers

Sl.No Emp.id / Reg.No Name Mobile Number Faculty/Student Remarks 1.

___ ___ ____ ____ ___

Annexure 7

UNDERTAKING LETTER - STUDENTS We the students of –EC, EE & ICT Department at Uka Tarsadia University, Bardoli do here-by undertake that we are going on Industrial Visit/Cultural Visit/ Field Trip/Study Tour/Out Bound Training to –Meena Circuit Pvt. Ltd., Vadodara organized on date 11/02/2019 departure date 11/02/2019 time 5:30 A.M. from Uka Tarsadia University/Surat and arrival on date 11/02/2019 time 10:00 P.M. at Uka Tarsadia University/Surat. Faculty and staff of Uka Tarsadia University will not be held responsible for any mishap/eventualities during the trip.

Sr.No Enrolment No. Name Semester Signature

1. 201803100610001 Roshankumar Yogendraprasad Yadav 2ND EE

2. 201803100610002 Rajkumar Jayeshkumar Rupawala 2ND EE

3. 201803100610004 Daminiben Rajeshbhai Gamit 2ND EE

4. 201803100610005 Sandeepbhai Ramanbhai Rohit 2ND EE

5. 201803100610008 Abhishek Balraj Dalmotra 2ND EE

6. 201803100610009 Kishore Pranavkishore Satyam 2ND EE

7. 201803100610010 Vikas Rajeshkumar Maurya 2ND EE

8. 201803100610011 Sagar Brijlal Kamal 2ND EE

9. 201803100610012 Smitkumar Parmar Smitkumar 2ND EE

10. 201803100610014 Jai Kumar Jai 2ND EE

11. 201803100610016 Agrawal Sapna Agrawal 2ND EE

12. 201803100610018 Pedduri Sairam Pedduri 2ND EE

13. 201803100710003 Sumeet kumar Patel 2ND EC

14. 201803100710004 Rathi Ambika Ramawtar 2ND EC

15. 201803100710005 Krishna Nitinbhai Patel 2ND EC

16. 201803100710006 Rahul Bindal 2ND EC

17. 201803102710001 Amipara Sohamkumar Bipinbhai 2ND ICT

18. 201803102710002 Buha Milankumar Ratilal 2ND ICT

19. 201803102710004 Tejani Mit Babubhai 2ND ICT

20. 201803102710005 Shah Mitul Tejasbhai 2ND ICT

21. 201803102710006 Vakhariya Chinmay Mukeshkumar 2ND ICT

22. 201803102710007 Pillai Gokul Gopinathan 2ND ICT

23. 201803102710008 Patel Chirag Shaileshbhai 2ND ICT

24. 201803102710009 Saumya Nlanj Desai 2ND ICT

25. 201803102710013 Desai Devansh Urmil 2ND ICT

26. 201803102710015 Suthar Dhruvil Pankaj 2ND ICT

27. 201803102710016 Bhakta Priya Nutankumar 2ND ICT

28. 201803102710018 Dobariya Priya Kanubhai 2ND ICT

29. 201803102710019 Navadiya Zinkle Rajubhai 2ND ICT

30. 201803102710020 Vanshika Jathar 2ND ICT

31. 201803102710022 Mangukiya Bhavdip Hasmukhbhai 2ND ICT

32. 201803102710024 Shaikh Uzair Mohammed Sabir 2ND ICT

33. 201803102710025 Challa Srivalli Prabha 2ND ICT

34. 201803102710026 Multani Sahil Samirbhai 2ND ICT

35. 201603100710014 Mistry Kamini Prafulbhai 4TH EC

36. 201603100710031 Patel Smit Sanjaykumar 4TH EC

37. 201703100710003 Bakuli Chavan 4TH EC

38. 201703100710004 Patel Priyanka Suresh 4TH EC

39. 201703100710005 Dhakecha Reema Sureshbhai 4TH EC

40. 201703100710008 Bariya Nensi Ashwinkumar 4TH EC

41. 201703100710011 Anjali Rathi 4TH EC

42. 201703100710013 Deepak Chaudhary 4TH EC

43. 201703100710017 Amrutha S 4TH EC

44. 201703100710018 Priyanshi Subhashbhai Gavli 4TH EC

45. 201703100710019 Vikas Vishwakarma 4TH EC

46. 201703100710021 Vaghani Raj Mukeshbhai 4TH EC

47. 201703100710022 Dhola Jay Babubhai 4TH EC

48. 201703100710023 Zalavadiya Meet Dilipbhai 4TH EC

49. 201703100710024 Rupareliya Viren Narsinhbhai 4TH EC

50. 201703100710025 Kadali Umang Damu 4TH EC

51. 201703100710026 Moradiya Akshay Maheshbhai 4TH EC

52. 201703100710030 Thakor Rutviksinh Hitendrasinh 4TH EC

53. 201703100710031 Surti Robin Vijaybhai 4TH EC

* The Undertaking should repeat in all pages

GUIDELINES TO GET FINAL APPROVAL FOR INDUSTRIAL VISIT/CULTURAL VISIT/ SPORTS MEETS/ FIELD TRIP/STUDY TOUR/OUT BOUND TRAINING/

The Programme Chairs may plan only academic related tours as and when required with small groups attaching adequate or proportionate male and female faculty members (Students’ tours of entertainment/fun to be discouraged)

The Division Chair/Programme Chair approving the Industrial Visit/Field Trip/Outbound Training etc., shall ensure and endorse that the faculty members attached to the tour submit an undertaking stating that the tour is arranged only for Industrial Visit/ Study Tour/ Field Trip/ Outbound Training connected to academics, and students will not be taken or allowed to mountain areas, rivers, canals, beaches, water parks, reservoirs, forest areas etc.,; and, they are personally liable and answerable for any such untoward incident taking place during the tour.

Places with potential hazards, such as political unrest, negligent security, disease outbreaks, threats of earthquake or frequent occurrence of Cyclone and flood, should be avoided.

If the mode of transport is by bus, overnight travel is strictly not permitted. Any travel requiring more than 24 hours should not be by road (Preferable mode of Transport is Train).

Faculty/staff arranged students’ un-official tours shall be treated as violation of University Rules and the individuals organizing or arranging to organize such tours shall be subjected to appropriate disciplinary action.

The capability of the participants to take part meaningfully in the activity must be taken into consideration when deciding the destination, itinerary and duration of the tour.

The detailed tour schedule shall be submitted well in advance mentioning the date, time and place of departure and arrival, mode of travel (Bus/Train/Air/Ship/Other Modes), outstation accommodation arrangement details, list of important telephone numbers and addresses of the locations where the team is visiting including the phone-fax numbers of the hotel and local transport details.

If Travel by outside bus, FC copy of the bus should be produced with request form. Each study tour should maintain student faculty ratio of 20:1. Lady faculty member should accompany girl students (It is applicable even if only one girl student is

going for a trip) The Accompanying faculties should submit the undertaking letter All students should get approval from their Proctor/Faculty Advisor and parents. The faculty members accompanying the group may be mix of multiple languages talented in order to manage

tour affairs confidently and successfully. Faculty should authorize the complete schedule Club coordinator should accompany in case of representing any club List of students – with details (Male / female) to be submitted. At least one faculty member (either male or female) of the group needs to be fully acquainted with the touring

stations so that they can guide and instruct students in an appropriate way accordingly to see that the students are not getting into any unforeseen incident or accident. Information relevant to the itinerary, such as the addresses and telephone numbers of the lodging places, location of the local police stations, hospitals, clinics or first-aid units as well as the emergency call numbers en route, should be collected. Such information should be given to the parents and the responsible person in the school before the trip for emergency needs.

It is preferable to arrange two students (of same gender) or more to live in a room when allocating accommodation. This will faci litate provision of support to fel low members. Once the arrangement for accommodation is finalized, no student should be allowed to make any change without a proper reason so as to avoid causing confusion.

No student shall be compelled to participate or to contribute money for any kind of tour just for the sake of fund management during the tour. In case of any such compulsion, the student(s) can report to the Safety Committee.

The parents/guardians of the students (those who are participate in the tour) may be asked to submit an undertaking (by mail or fax or SMS) stating that the parent is permitting their ward to participate in the tour with their knowledge and at their own risk. Students if they are hostellers, they should get special leave approval from their respective Hostel authorities.

Exit and Entry should be at Uka Tarsadia University ( Faculty and Students joining the group from their hometowns and leaving to their hometowns after the tour is not permitted under any circumstances )

Before leaving for Industrial Visit/ Sports Meet/ Study Tour / Field Trip / Outbound Training etc., concerned faculty organizer shall arrange to procure adequate and proper FIRST AID KIT in consultation with our University Health Centre if necessary. The faculty members shall accompany the students throughout the tour/trip and shall stay along with the students.

No faculty member attached to the tour shall alternate or replace other faculty/staff member on his/her behalf without prior proper approval of the Dean/Director.

It is advisable that at least one of the faculty or participants should know first aid and use of Fire extinguishers.

Students should be reminded of the need to follow the Faculty instructions and observe all the safety regulations throughout the trip.

After checking in a local hotel, the students should first find out where the “fire escape” is. They should also acquaint themselves with the exit direction, the escape route and the place of assembly in case of emergency.

F a c u l t y ac co m pa n y i n g should pay attention to the weather forecasts and news broadcasts of the place of visit. If there is any change in weather or other conditions, a contingency plan should be worked out as soon as possible.

The faculty should have full knowledge of the health condition of each participant in order to determine whether specific participant(s) should not be allowed to take part in the activities of the day. He/she should take timely and appropriate action having regard to the circumstances of individual cases.

The f a c u l t y should also arrange for any sick member to see the doctor immediately and to take effective preventive measures according to the doctor’s advice. If necessary, the faculty should inform the parents and the school regarding the students’ health conditions as soon as possible.

The faculty should bring along with him/her the necessary safety equipment for the tour, for example, a first aid box, communications equipment (mobile phones), torches, etc.

The faculty should monitor the speed of the vehicle (bus) in which they are traveling to ensure it is within safety limits. He/she should remind the driver or the reception personnel of the importance of road safety when necessary.

After returning from the tour, the concerned faculty team shall submit a BRIEF ARRIVAL REPORT to the Students’ Safety Committee.

Students attending the Industrial Visit should submit an observation report for which internal marks may be awarded.

Note: Faculty member participating in the tour would get 2 PI points per visit (participating in college

Administration) Industrial Visit can be made in every semester as compulsory in part of the curriculum to motivate students

and faculties

Group Photo at Meena Circuit Pvt. Ltd

Handing over thanks giving letter to The Manager of Meena Circuit Pvt. Ltd.