Name of the Student: Gauri Grover____________

Enrollment Number: ____A0403423120___________________ Sec;on =G___

Program: MA CLINICAL PSYCHOLOGY________Sem: _3________________ Batch: 2023- 2025___

Intern’s e-mail address: _ [email protected] Mobile No.9310515395

Internship Company's Name and Address Saksham Child & Adolescent Guidance Clinic

B-2 A/1, Najafgarh Road, Landmark: Opposite Metro

Pillar Number 540, Delhi
110063
Internship Period From 14th May, 2024

To 5th July, 2024

Total No. of Internship/Field Work/Obs. Study 7 Weeks

Weeks
Name, Designa;on & Contact No. of Company Dr. Roma Kumar
Mentor Senior Psychologist
011 4119 3965

Signature of Internship/Field Work/Obs.Study

Supervisor (with company stamp) - at the end
of internship
Instruc/on to maintain the training diary

• You are required to maintain your diary neat and /dy, keeping it safe /ll the end of your training period.
• It is important that daily entries are made at the end of each day’s work (handwri<en/typed-as advised by
your respec/ve faculty guide).
• The weekly entries should contain a brief descrip/on of work undertaken during each week: Notes of work
carried out, challenges encountered & how handled, learnings etc.

1
 Week Descrip/on of the Work Carried Out

Week 1 Day 1

14/05/2024- Tasks carried Out:

20/05/2024

Planning for the next day:

Day 2

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Planning for the next day:

Day 3

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Day 4

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2
Day 5

Tasks carried Out:

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Day 6

Tasks carried Out:

Planning for the next day:

Day 7

Tasks carried Out:

Planning for the next day:

Takeaways of the week (pointers/bullet points):

Signature of the student Signature of the company mentor

3
 Week Descrip/on of the Work Carried Out

Week 2 Day 1

21/05/2024- Tasks carried Out:

27/05/2024

Planning for the next day:

Day 2

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Day 3

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Day 4

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4
Day 5

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Day 6

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Day 7

Tasks carried Out:

Planning for the next day:

Takeaways of the week (pointers/bullet points):

Signature of the student Signature of the company mentor

5
 Week Descrip/on of the Work Carried Out

Week 3 Day 1

28/05/2024- Tasks carried Out:

03/06/2024

Planning for the next day:

Day 2

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Day 3

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Day 4

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6
Day 5

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Day 6

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Day 7

Tasks carried Out:

Planning for the next day:

Takeaways of the week (pointers/bullet points):

Signature of the student Signature of the company mentor

7
 Week Descrip/on of the Work Carried Out

Week 4 Day 1

04/06/2024- Tasks carried Out:

10/06/2024

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Day 2

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Day 3

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Day 4

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8
Day 5

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Day 6

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Day 7

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Planning for the next day:

Takeaways of the week (pointers/bullet points):

Signature of the student Signature of the company mentor

9
 Week Descrip/on of the Work Carried Out

Week 5 Day 1

11/06/2024- Tasks carried Out:

17/06/2024

Planning for the next day:

Day 2

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Day 3

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10
Day 5

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Day 6

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Day 7

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Planning for the next day:

Takeaways of the week (pointers/bullet points):

Signature of the student Signature of the company mentor

11
 Week Descrip/on of the Work Carried Out

Week 6 Day 1

18/06/2024- Tasks carried Out:

24/06/2024

Planning for the next day:

Day 2

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12
Day 5

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Day 6

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Day 7

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Planning for the next day:

Takeaways of the week (pointers/bullet points):

Signature of the student Signature of the company mentor

13
 Week Descrip/on of the Work Carried Out

Week 7 Day 1

25/06/2024- Tasks carried Out:

01/07/2024

Planning for the next day:

Day 2

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14
Day 5

Tasks carried Out:

Planning for the next day:

Day 6

Tasks carried Out:

Planning for the next day:

Day 7

Tasks carried Out:

Planning for the next day:

Takeaways of the week (pointers/bullet points):

Signature of the student Signature of the company mentor

15