Application Form for Educational Tours to EPTRI

(Half day Programme: 11:00 AM to 1:30 PM)

Name of the School/College/Institute(in block letters)

Nature

Government

Private

Address

E-mail ID

Contact Number

Number of Students Visiting

Tenative Dates of Visit to EPTRI

Tenative Dates of Visit to EPTRI

Standard/Class

Students Background

Name of the Faculty Member Accompanying

Contact No.of the Faculty

Lunch Provision Required Select Yes No

Remarks

Charges for the Visit

Instructions: 1. Fee charges: Government- Rs 150/- per head and for private- Rs 250/- per head.
2. Lunch charges are extra Rs 100/- per head.
3. Transportation is the responsibility of the respective School/College/Institute.
We hereby declare that the charges for the visit will be borne by us and the information furnished above is correct and original.