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Internship Application Form v4 International Students

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Raman Ray 105
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30 views

Internship Application Form v4 International Students

J

Uploaded by

Raman Ray 105
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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Internship Application Form for International Students

(Applicable ONLY to International Students going for Internship through self or Off-campus)
Case No. (to be filled by DAA Office) CU/ DAA/ INT/
UID Section
Name Contact Number
Program/ Branch TPP Registered (YES/ NO)
Current Semester Semester of Internship
Backlogs
Internship Details
Company Name
Address / Location
Start Date End Date
Stipend (per month)
Placement after Internship (YES/ NO)
Attach the following documents:
1. Offer Letter, 2. Detailed Marks sheets of all semesters, 3. Attendance Record, 4. Self-Undertaking Note, 5. Any other
Student Declaration
1. I will comply with all the University norms/ rules/ policies.
2. I am aware of the rules/ regulations/ conditions/ benefits related to internship.
3. I am aware that I might not be able to appear for in-campus placement drives during my internship period.
4. This approval is only valid if I register for semester and apply for NOC online on CUIMS.

(Student Signature)
(to be filled by concerned authorities)
Recommendation / Approval
(1) Department
Details Verified (YES/ NO)

Placement/
Internship Coordinator
(Remarks) (Signature with E-code)
Total No. of Courses in the semester of Internship Internship Code Applicable (YES/ NO)
Attach scheme of semester of Internship (signed and stamped by Head of Department)

Head of Department Recommended / Not Recommended


(Signature with seal)

AD/ Principal/ Director Recommended / Not Recommended


(Signature with seal)

Executive Director Recommended / Not Recommended


(Signature with seal)
(2) DAA Office (Room No. 217, Block – B1)
Academic Attendance
Remarks Mid-Semester Tests (MSTs)
Internals (Assignments, Quiz, Lab Work, etc.) + EST
(3) CRC (Block – C2) (4) FRRO Office (International Admissions, Block – A1)
Details Verified (YES/ NO) Details Verified (YES/ NO)
Allowed for In-Campus Placement Drives (YES/ NO)

Verified /
Not Verified
(Signature with seal) (Signature with seal)
(5) DAA Office (Room No. 217, Block – B1)

PVC (Academic Affairs) Approved / Not Approved


(Signature with seal)
Students applying for Internship
1. The student must register for the semester.
2. Only academic attendance relaxation during the internship period will be
considered. (DCPD classes/ summer term/ winter term/ semester repeat
exemption needs to be taken separately)
3. In case, MSTs are missed, proportionate marks may be applicable. (Subject to
approval)
4. All Internal assessments including assignments, quizzes, project, lab
worksheets, to be submitted by the students. (Please discuss with your
department about the submission of the same)
5. For Continuing internship (from previous semester to next semester) in same
organization (if the student has prior approval) student needs to fill out the
Internship Extension form, attach all the relevant documents and submit to
CRC for extension.
6. End-Semester Examinations to be given by the students (in case, Internship
Code is not applicable to/ part of their course curriculum scheme)
7. In case, he/she drops/leaves/completes the internship in between the
semester, then the student has to report back, take necessary approvals, get
NOC cancelled and attend the classes as per the policy.
8. The TPP registered students will not be allowed for in-campus placement
drives during their internship period.
9. Students must stay connected with department mentors, HODs and other
related persons for continuous updates.
10.The student has apply on CUIMS for Internship NOC by uploading duly signed
document (Internship Application Form) and get the same approved Online on
CUIMS.
11.The student is solely responsible for fulfillment of academic requirements, in
case of backlogs.
Declaration by Student:
I have read the above guidelines and confirm to abide by the guidelines, rules and
regulations of Chandigarh University.

Student Sign
Name:
UID:
SELF UNDERTAKING
I, ____________________ S/O ______________________bearing UID No. _________________ COURSE __________
BRANCH __________ have received an offer from _____________________________(Name of the Company)
and have likely to be joined on ______________(date of joining) hereby agree and undertake that:-

1. That I will submit my Attendance/ Salary slip/Bank Statement issued by the employer on
account of proof on or before 10th of every month, if applicable.
2. That I will communicate regularly with the assigned faculty Mr./Ms._____________ at official E-
mail address ________________ during the Internship/Training.
3. That I will submit the monthly progress reports and other documents on time and
according to the prescribed form and content.
4. That I further undertake all the responsibilities for undergoing this Internship/ project
training at my cost.
5. That I will return all the reading books, material issued to me by the University before
proceeding to Training.
6. That I shall abide by the rules and regulations issued from time to time by the University
during the training.
7. That I will appear in the End Semester Evaluation of the University on the specified dates
intimate by the Department.

(Signature of the Student)


Declaration by the Parent/Guardian:
1. We, the undersigned parents/guardian shall ensure that our son/daughter uphold the good
name of the University and abide by the code of conduct of the University, the Company, the
industry and any other relevant rules and regulations at all times during the course of
training/Internship.
2. We, the undersigned parents/guardian shall ensure that our son/daughter shall not breach
the terms and conditions of the contract for industrial training.

Signature of the Parent/Guardian


Note:
a. The University reserves the right to withhold the degree OR cancellation of the
semester, for the non-fulfillment of above mentioned conditions.
b. In any case, if the student drops his Internship/Training, he/she will report back to his
respective Department.
c. The Undertaking will be retain by the Department in original.

DEPARTMENT/ INSTITUTE CERTIFICATE

The Department of _______________________________ (Name of the Department) hereby permits


the above said student to carry out their work at ________________. Shri/Prof./Dr.
_______________________________ is identified as the (Name of the Staff-In-Charge) staff member
to co-ordinate with _______________________________ (Name of the Company) for the project
work on academic matters.

Signature of Faculty Coordinator Signature & Seal of HOD


Date: Date:

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