Internship Form
Internship Form
Internship Form
PHOTO
Email ID :
Contact No. :
AADHAAR No. :
Degree :
College/University :
College Registration No :
Name of the Mentor
& Department :
Duration : From To
Payment Details* :
(Ref. No & Date of Online Payment)
Date :
Signature of student
Hereby, we confirm that adequate space and facilities are available in the toofaccommodate
Signature the Student the
candidate for internship programme
Verified by
Scientist, CARE Head, CARE
*Payment to be made online through SBI Collect-
https://www.onlinesbi.com/sbicollect/icollecthome.htm; select State-Tamil Nadu Type of
institution-Govt. Department Central Leather Research Institute CARE (under Payment
Category)
UNDERTAKING FOR INTERNSHIP PROGRAMME
To
Director
CSIR-CLRI
Adyar, Chennai-600020
Name:
College:
Student shall strictly abide the terms and conditions during his/her work at the CSIR-Central
Leather Research Institute.
Signature
HOD / Principal of College / University
Seal