Training in NPCIL
Training in NPCIL
1.
Name of the Student (in full)
2.
3. Date of Birth
Present Address
4.
-
Phone No. & E-mail ID (Capital Letter)
Permanent Address
5.
-
Phone No. & E-mail ID (Capital Letter)
6.
Name of the Degree/Diploma course being
pursued by the student and the year/semester
8.
Title of the Project proposed to be undertaken
9.
Duration of the Project Work/ Practical Training
Details of reference:
Name :
Emp. No. :
10.
Designation :
Section :
Unit :
.............................................................................
......................................... .....................................................................................
.........................................................................
.................................
This is to certify that the Shri/Ms............................................................................. (S/o.)/(D/o).
Shri/Smt............................................................................................. is student of (College name & full
address)..................................................................................................................................................
.............................................................................................................................. and he/she is presently
studying (Course and Year of study)......................................................................... during the academic
year .................................
Date:
UNDERTAKING
1. Upon my request, the Kudankulam Nuclear Power Project (KKNPP) kindly agreed to afford me
Project Work/Practical Training facilities in (branch/faculty/discipline) ________________________
at their _____________________________________ Unit/Headquarters.
2. The duration of the training course is proposed to be from dated ________ to __________.
3. I hereby undertake that I shall, during the period of training with KKNPP, abide by the terms and
conditions as hereinafter appearing that:
(a) I shall at all times, conform to the rules and regulations of the KKNPP as may be prescribed from
time to time.
(b) I shall at all times observe the health/safety precautions including wearing of uniforms/film
badges as may be prescribed for entry into the plant/place of work.
(c) I shall be liable to make good any loss or damage to the property of KKNPP caused due to my
carelessness or negligence during the course of my training.
(d) In the event of an accident, causing injury/disablement to me or my death during the period of
my training KKNPP or any of its employees will not be liable to pay any medical expenses or
compensation/insurance coverage and that no claim either or my or on my behalf by
dependents/heirs/client will lie against KKNPP or any of its employees.
(e) I am aware that there is neither any conviction in any court against me and no criminal case or
police investigation has been initiated or pending against me.
(f) I am aware that NPCIL is a scientific & technical organization of national importance, and I shall
maintain the highest discipline and conduct myself in a befitting manner as regards my approach to
the work, attire/dress code and decorum of the office/work place.
(g) I am aware that the permission granted to me shall stand cancelled in case of any violations by
me of the rules and regulations of KKNPP without assigning any reasons/without notice.
Further, I hereby solemnly declare and say that I shall not directly communicate or cause to be revealed,
by electronic means or otherwise, to any person or persons any information which has come or may
come into my possession in the course of my training with NPCIL except with the written permission
from the Competent Authority of NPCIL.
Name __________________________
Designation __________________________
Seal of the Head of the Institution
ANNEXURE IV
Nuclear Power Corporation of India Ltd.
A Government of India Enterprise)
Affix Passport
Kudankulam Nuclear Power Project Size
Photograph of
, , , - 627106 the Student
Security Clearance Form duly attested
by the Head of
[ ] the
[To be enclosed with Temporary Entry Pass (TEP) Application] Institution.
Name:
(Surname) (First Name) (Middle) (Last Name)
Date of Birth:
Name of University/ Institution/ College:
Educational Status
Nature of Work in NPCIL (Enclose copy of authorization)
Present
Address
Permanent
Place: ________________
Date: _________________ ( Signature of Applicant)
CERTIFICATE
_________________________ _______________________
, __________
,
,
Certified that Dr./Shri/Smt./Kum./Kumri.______________________________________________
son/daughter/wife/of Shri _________________________________________ whose particulars are
given above is personally know to me for last _____________ years and he/she is a bonafide student of
this *University/College/Institution. To the best of my knowledge and belief, he/she bears a good moral
character and has no antecedents which would render him / her unsuitable to entre NPCIL (Nuclear
Power Corporation of India Limited) premises, which is prohibited area.
Date: ______________
Name & Designation Of Head of University/College
* Please delete the words not applicable.
____________________________ , ____________
________ , ______________________________________
________________________________ ___________________________
He /She may please be permitted to undertake Project Work/Practical Training in NPCIL from _____________ to
___________ as per details given above. I undertake that the said applicant will abide all security and safety
instructions of NPCIL.
SIGNATURE
NAME
DESIGNATION
Date: __________ EMP.C.C.NO.
UNIT/DIRECTORATE
GROUP/SECTION
OFFICE LOCATION
TELEPHONE/MOBILE NO.
SIGNATURE
NAME
DESIGNATION
Date: __________ EMP.C.C.NO.
UNIT/DIRECTORATE
GROUP/SECTION
OFFICE LOCATION
TELEPHONE/MOBILE NO.