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College Internship Form1-1

The document is a request for student internships from KLS's Gogte Institute of Technology, certifying that students from the Mechanical Engineering department wish to undertake internships at an organization. It includes details for the organization to provide a certificate of training upon completion. Additionally, it contains an undertaking by the students regarding their responsibilities and safety during the internship period.

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Omkar Shindolkar
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9 views3 pages

College Internship Form1-1

The document is a request for student internships from KLS's Gogte Institute of Technology, certifying that students from the Mechanical Engineering department wish to undertake internships at an organization. It includes details for the organization to provide a certificate of training upon completion. Additionally, it contains an undertaking by the students regarding their responsibilities and safety during the internship period.

Uploaded by

Omkar Shindolkar
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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KARNATAK LAW SOCIETY'S

GOGTE INSTITUTE OF TECHNOLOGY


"JNANAGANGA" UDYAMBAG, BELAGAVI-590 008, KARNATAKA, INDIA.
(Pemanently Affiliated and Autonomous Institution under VTUBelagavi )
Dr.H.B.KULKARNI
M.Tech.,Ph.D., M.A.S.M.E, M.I.S.T.E. (Off): +91-83 1-2498503
Fax.: +91-831- 2441909
Head Department of Mechanical Engineering, E-mail : [email protected]
KLS's Gogte Institute of Technology, Belagavi.

KLSGIT/MECH/UG/2024-25. Date:

To,

Sub: Regarding request for the student 'Internship".


Respected Sir/Madam,
Kindly accept our greetings,
This is to certify that the following are our bonafied students of this department,
presently he/she is studying in_Semester B.E. (Mechanical Engineering). They desire to
undergo Internship' at your esteemed organization during their vacation /
gth sem from to - [A total of weeks ].
SI. Students Name Roll USN Mobile No.

No. No.

Irequest you to issue a certificate of training, duly signed by the authorities at the
industry, after successful completion of their Internship'.
Thanking you for the support,

Mentor Name: Yours Sincerely,


Mentor Sign:
Contact No.:

(HOD)
For Industry use only
Name of industry mentor:

Designation:
Phone no:

Email ID:

Permitted : Yes/No
Duration of internship From:
Authorized Seal and Signatory
To:

SI. No. Students Name USN Mobile No.

1
2
3

SI. No Learning Objectives of the Internship from the company


(Tobe filled before taking mentorsign)

Note:
Students should handover the duly signed copy of the permission letter from industry to their
respective faculty mentors.
UNDERTAKING

Ithe undersigned, bonafied student of KLS's Gogte Institute of Technology, Belagavi, do undertake the
following :
1 That Iam aware of the fact that the proposed Internship is mandatory and Iagree to participate n
this intemship voluntarily at my expenses.
2 That there would be challenging environment in the industrv and I shall take all the precautions to
protect myself from any hazard or injury.
industrial personnel during
3 That Ishall abide by the instructions framed by our faculty as well as
the intemship.
period in such a manner that the prestige
4 That Ishallconduct myself during the entire internship
of our department and the institution is always protected.
other students and the staff at the industry in mak1ng
5 That I shall co-operate with the entire faculty,
our intermship useful and safe one.
the
during the intermship period or otherwise in industry, I take
6. In case oft any mishap taking place
responsibility of any loss or injury to me.
internship.
7. Tagree to obey all the guidelines given to us during the

Student signature:
Parent / Guardian signature:
Name:
USN:
Semester:

Division:
Address & Contact no:
Date:

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