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IIPC-seld-dec-form

The document is a self-declaration form for students at KPR Institute of Engineering and Technology expressing their willingness to undertake an industrial internship. It outlines the student's commitment to abide by college rules, maintain professional etiquette, and ensure their own safety during the internship. The form requires the student's signature and personal details such as roll number, class, and department.

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12 views1 page

IIPC-seld-dec-form

The document is a self-declaration form for students at KPR Institute of Engineering and Technology expressing their willingness to undertake an industrial internship. It outlines the student's commitment to abide by college rules, maintain professional etiquette, and ensure their own safety during the internship. The form requires the student's signature and personal details such as roll number, class, and department.

Uploaded by

22cb054
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Industry Institute Partnership Cell

KPR Institute of Engineering and Technology


(Autonomous, NAAC – ‘A’)
Avinashi Road, Arasur, Coimbatore – 641 407, Tamilnadu

SELF-DECLARATION FORM
Date:

To:
Head of the Department
Department of ………………………….......
KPR Institute of Engineering and Technology
Coimbatore – 641 407

I……………………………………………………………………………………………..
Roll No. …………………………….. Class / Sec ………………….. Department of
………………………………. wish to state that I am willing to go to Industrial internship to
……………………………………………… From ………………… To …………………..
on my own interest. I will abide by the rules and regulations stipulated by the college and I will
obey the instruction, safety measures and professional etiquette in the Industry. I Assure I will
give regular attendance to the industry and does not spoil the reputation to the Institute by all
means.
I am conscious that I am solely responsible for my safety and security during the visit and I
undertake to conduct myself accordingly to ensure the same.

Signature of the Student


(Name in BLOCK Letters)

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