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Internship Request Form PDF

The document is an internship request form for a candidate seeking an internship. It requests information such as the candidate's name, qualifications, preferred department and project area, duration of the internship, whether hostel accommodation is needed, and equipment requirements. The candidate agrees to abide by all institute rules and regulations during the internship. The form requires recommendations from the head of the relevant department and the training and placement officer.

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Manish Shashikant Dharek
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© © All Rights Reserved
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117 views

Internship Request Form PDF

The document is an internship request form for a candidate seeking an internship. It requests information such as the candidate's name, qualifications, preferred department and project area, duration of the internship, whether hostel accommodation is needed, and equipment requirements. The candidate agrees to abide by all institute rules and regulations during the internship. The form requires recommendations from the head of the relevant department and the training and placement officer.

Uploaded by

Manish Shashikant Dharek
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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Director

{OFFICE OF TRAINING & PLACEMENT}


Internship Request Form
Paste your
1. Particulars of Applicant self attested
good quality
Name: __________________________________________________ colour
Father’s Name: ___________________________________________ photograph
D.O.B. of Candidate: _______________________________________
Name of Branch at UG/PG Level ______________________________
here
Correspondence Address Permanent Address
_________________________ _______________________
_________________________ _______________________
_________________________ _______________________
Mobile No. _______________ E mail _________________

2. Qualifications
Sr. No. Class/Year/Semester Institute/University Academic Year Percentage/Grade
Completed upto last semester
appeared

3. Name of the Department/Centre where Training/Internship is to be undertaken


______________________________________________________________________________

4. Project Area/Title of your interest _________________________________________________

5. Time duration of Training/Internship from ______________ to_____________________

6. Reporting Date: __________________

7. Whether Hostel required : Yes/No _______________

8. Name of specific equipment/software required for training (if any) ______________________

9. Name of Faculty mentor if consent was taken earlier : ______________________

I shall abide by all rules & regulations of NIT Hamirpur (HP) during my stay in the Institute.

Signature of Candidate with date


Recommendations of the concerned HOD with seal

Signature of TPO with seal

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