Internship Form

SPTWD APPLICATION FOR INTERNSHIP

 * Required

5.Home Address *

8. Emergency information * ( alternative phone number & email ID with name of person and relation)

Other : ________________

 Intermediate       Advance

11.If any health condition or illness *

14.Name & Address of the Institution * 

15.Name of the Course * __________________________________________________________________________

16.Duration of Internship *

19.Reference:Professor or Head of the department/Institutions whom you are reporting to ? *

Name & Designation                             Department                                 Contact Number                              Email ID

20.Objective of internship ?Any specific work\Project you want to achieve during internship with us ? *

21.Are you willing to do your internship in any part of North East India where ever SPTWD will assign you? Yes/No * 

             Yes  No If No, reasons:

22. Please state below what consideration led you to apply for a internship with SPTWD ? *

23.Who sponsors your internship? *

25. Attached Reference letter from the institution regarding the internship * 

                     Yes             No

a) If medical treatment require during the internship you are required to cover the expenses.

b) SPTWD has all rights to terminate your internship if found disqualified.

c) All other expenses during internship should be borne by the intern students.

d) SPTWD prohibit smoking, drinking or any non - prescribe drugs.

e) During internship you will uphold the values and ethos of SPTWD and will abide and follow the rules and regulations and policies of SPTWD

         Yes             No

26. I hereby certify all the above information are true to the best of my knowledge and belief * 

         Yes          No