TT-23

STUDENT INTERNSHIP PROGRAM APPLICATION

ANGTE
Department of Training & Placement
Haldia Institute of Technology
Complete and submit to the TPO/ Internship Program Coordinator. Type or write clearly.

Student Name: AmuSHIKA SHRYAM

Roll No. O0219 009
Affiliation: MAuLANA AGUL RALAM AzA0_UNIERS1IY OE TECHNOLOCGY-
Phone:
Present Address Po HIT ColLE CGE RoAD
KS HUOIRAM NACGAR 620122993
, HALO1A 1216S 9 |
Home address: Phone:
SHASTRINAAR. RoAD Alo.
MUnGE R, 1HAR, PiNCo 0E - 8)1 20 6209223931

Student email address: anushka or 20o @imail-(n

Internship semester and year: 3rd year,6 H sem
CGPA: 9.22
Internship Preferences:
Location Core Area Company/institutionn
Preference-1
Android oevelof mert Adapied Brains.
kolka
Preference-2

Preference-3

Faculty Mentor Signature with Date:

Rinai 3huna 25
The signature above confirms that the student has attended the internship orientation and has met
all paperwork and process requirements to participate in the internship program, and has received
approval from his/her Advisor.
Student Signature with Date:
nuushka Bhrniyamm
27-2-2022
Signature confirms that the student agrees to the terms, conditions, and requirements of the
InternshipProgram.
 REQUEST LETTER FROM INSTITUTE TO INTERNSHIP PROVIDER
ACTE TUTEG

Department of Training & Placement

Haldia Institute of Technology
TO

The General
Manager (HR)
ARPAN.AGHI SHEK
.oLATA...
Subject: REQUEST FOR 04/06 WEEKS INDUSTRIAL TRAINING of
Programme M.Tech/ 4 years Degree

Dear Sir/Madam,
You must be aware that AICTE has
made internship mandatory for all technical education students.
In view of the
above, I request your good self toallow our following
training in your esteemed
organization.
students for practical
Kindly accord your permission and give at least one-week
time for students to join training after confirmation.
Student details:

SI. No Name Roll No Year

3. AruSHicA SHRIYA M Discipline

I also like to
request you that if vacancies exist, kindly do
for 202 3batch passing out students in above branches. plan
for Campus/0ff Campus Interview

A line of confirmation will be highly appreciated.

With warm regards,

Yours sincerely,

Training & Placement Officer

Haldia Institute of Technology

 OBJECTIVES/ GUIDELINES/ AGREEMENT: INTERNSHIP SYNOPSIS
BE(TO PREPARED IN CONSULTATION WITH FACULTY
MENTOR) TUTEOF TECH
CIE
Department of Training & Placement
Haldia Institute of Technology
An internship is a unique learning experience that integrates studies with practical work.
This agreement is written by the student in consultation with the faculty Mentor and Industrial
supervisor. It shall serve to clarify the educational purpose of the internship and to ensure an
understanding of the total learning experience among the principal parties involved.

Part 1: Contact Information

Student

Name: ArUSHKA SHRIYAM- Student

lD# 002-19-0111 Class Year:
Campus Address: P0 HIT, HT GOLLEGE RoAO KSHUO01RAM
d
NACG AR 12165L
City, State:_HALD1A ESL B£NGAL
Phone:
6201227931 Email:anush ko or200 nail. ConaL
Industrial Supervisor
Name: ARPAn ABHISHE K Title:
Company/Organization: ADAPTE D BRAINS
Internship Addres: K0LATA

City, State, Pin:ko LkATA, WEST RENGAL 2oco 3

Phone: 9423 094 20 Email:
Faculty Mentor

Name: FUSu2AHRY RINKu RAN1:RHUNVA Phone:947 o+3 0_

Campus Address: Po Hn HII CoLLEGE RoAo,KSHOD1RAM NNAGAR 7216
Academic Credit Information

Internship Title: Andrenid Develo9eY nie1n Department:.

Course #: Grading Option: Credit ( /Non-credit

Beginning Date: St march 2022 Ending Date: 30 MApil 9622.

Hours per Week:. Internship is: Paid (Rs. 10,000)/Unpaid

 OBJECTIVES/ GUIDELINES/ AGREEMENT: INTERNSHIP
(TO BE PREPARED IN SYNOPSIs
KCTE
CONSULTATION WITH FACULTY MENTOR)
Department of Training & Placement
Haldia Institute of
Technology
Part I: Internship Objectives/Learning Activities
Internship Objectives: What do you intend to
to use
learn, acquire and clarify through this internship? Try
concrete, measurable terms in listing your, learning objectives under each of the
categories: following

Knowledge and Understanding

Eeceuent Knouesdge omel Undesionoli o tha
Subject s ie Tawo Progsamm n lamguoge , dat
S Ckures ,
dadabage mane emem Syiem
Skills

8occellent Commomo oven

databaoe pman emen am u am c

Learning Activities: How will your internship activities enable you to

knowledge/understanding, and skills you listed above? acquire thee

dmcrease Knoleolse wn Ra eal o Jova foromina

dlata gtrutru anal alooi
kmwo, And r0id develop mendamod
olat abanemamca emo Gainea mou eq e alout
Cndvoicl denclofm end
b woning on deo wos1
Projod s.
On the job: Describe how
your internship activities will enable
you to meet your
Include projects research, report
writing, conversations, etc., which you will learning objectives.
do while
relating them to what you intend to learn. working,
Jhe inte>ship helpeot un

alsut gaining knolleoe

deualepenfment anel hous to
imp1ement
l n Heas wo1d.
 OBJECTIVES/ GUIDELINES/ AGREEMENT: INTERNSHIP SYNOPSIS
(TO BE PREPARED IN CcONSULTATION WITH FACULTY
AICTE MENTOR) 1E OF TE
Department of Training & Placement
Haldia Institute of Technology
Teaching/Mentoring Activities: How your technical knowledge can be applied at the site of
the internship. How you create value
can
through mentoring/help people learn new things.
Hheuyh hin joun e leauning J cos olle do
maulcc
na gec bjeel at he enel
Antenshp Onc also tAOYN eol On Hea- wond
oec

Evaluation: Your Internship supervisor will provide a written evaluation of your internship. Describe
in detail what other evidence you will provide to your faculty Mentor to document what you have
learned (e-g. journal, analytic paper, project, descriptive paper, oral presentation, etc.) Include
deadline dates.

duvie pnu'de he Completi'on

CeniCas e d my intens hie.

: The Internship
 J
OBJECTIVES/ GUIDELINES/ AGREEMENT: INTERNSHIP SYNOPSIS
(TO BE PREPARED IN cONSULTATION WITH FACULTY MENTOR) uTE OF
AICTE
Department of Training & Placement
Haldia Institute of Technology
Job Description: Describe in as much detail as possible your role and responsibilities while
on your internship. List duties, project to be completed, deadlines, etc. How can you contribute to

the
organization/site of internship.
ceuert Knoc0ledg e a n
elmdens4anoling e Sulyect.ic To va Pregram moj29,
ato Stucure8, clatabase 0mag em emt,

Supervision: Describe in as much detail as posible the supervision to be provided/needed at the

work site. List what kind of instruction, assistance, consultation you will receive from whom, etc.

Jhe sPeRNU'sr helyeol un ha tshsle pocero amd maol? e

tcunin4 SuccessfuR olie lo tyhth due tiwns alle to
lean me 3)tll and Knourleole

Evaluation: How will your work performance be evaluated? By whom? When?

She deto peformam ce i l be evalrasool on ne

osin o Ompleion n cal Poject

Part IV: Agreement

This contract may be terminated or amended by student, faculty coordinator or work supervisor at
any time upon written notice, which is received and agreed to by the other two parties.

Student ANy SHIE ASHRI1AM_ Dat Morch_

Faculty Mentor RiNKD RA1 BAunA Date ls Morch
Industry Supervisor AReAA AAHISMEK Date st Morch
 STUDENT INTERNSHIP PROGRAM
ACTTE APPLICATION,
Department of Training & Placement
Haldia Institute of Technology
To

ARPAN.A8HIS.HEK.
. . ATA:..
s***

Subject: Relieving letter of student and Industry

Dear Sir,

Kindly refer your letter/e-mail

dated... on the above cited
subject. As permitted by your
good self the following students will undergo Industrial
Internship in your esteemed organization
under your sole guidance & directions:
SI. No. Name of Students
Roll No. Branch
AnusHLA SHRLYAMn0219009
This training being an essential part of the curriculum, the following
in the curriculum for the guidelines have been prescribed
training. You are therefore, requested to please issue following
to the concerned guidelines
manager//ndustrial Supervisor.
1. Internship schedule
may be prepared and a copy of the same
may be sent to us.
2. Each student is
required to prepare Internship diary and report.
3. Kindly check the
Internship Diary of the student daily.
4. Issue instruction
regarding working hours during training and maintenance of the attendance
record.

You
Yons
are requested to evaluate the students performance on the basisof grading ie. Excellent,
Very Good, Satisfactory and Non Satisfactory on the below
mentioned
reportmay please be forwarded to the undersigned on completion. of factors. The performance
training in sealed
envelope.

SI.No. Name of Students

Evaluation Ranking
Attendance and general behaviour
Relation with workers and supervisors rceulen
Initiative and efforts in learning Srceemt
Knowledge and skills improvement Seceent
Contribution to the organization xcelemt
Eeceul e
Your efforts in thisregard will positively enhance knowledge and practical skills of the
cooperation will be highly appreciated and we shall feel obliged. students, your
 L STUDENT INTERNSHIP PROGRAM
ACIE APPLICATION. STTUTE

Department Training & Placement

of
Haldia Institute of Technology
The students will abide
by the rules and regulation of the organization and will maintain a proper
discipline with keen interest during their
Internship. The students will report to you on
dated.29.h.Feh...
2022
along with a copy of this letter.
Yours sincerely,

Training & Placement Officer

 AICTE S INTERNSHIP DIARY/DAILY LOG
Department of Training & Placement
Haldia Institute of
Technology
'DAY
Time of arrival: |Tuesda
Jo 00 0 DATE
REMARKSs Time of departure: St MoTch_
Dept./Division SLeileMk S:oo ah
Name of
.T Name of finished
HoD/Supervisor with email ID: product
APan Abhi'ske
Main Points of the
day:

.Roadmap tha Proje cd.

2
Introduct lon to Ha tedh. Sl acks
3.
uneo in Pmjech
Ba Site c joo, android and olada b ase
4.
onng 0
Cal-uO orlel fPao) e

Ntan HlAvduk.
Signature of Company internship supervisor
ANCTE
SUPERVISOR EVALUATION OF INTERN
Department of Training & Placement
Haldia Institute of Technology
Student Name:
Work
AlUSHIKA SHRIYAM Date: S4 March20 22
Supervisor: ARPAn) ABHISHEk Title:
Company\Organization: ApAPTED BRALY
Internship Address: VIRTUAL
Dates of internship: From:
}SH mARC H 20Z2 To: 30 ArRIL
Please evaluate your intern
by indicating the frequency with which you observed the following
behaviors:
Parameters Needs Satisfactory Good Excellent
improvement
Behaviors
Performs in a dependable manner
Cooperates with co-workers and supervisors
Shows interest in work
Learns quickly
Shows initiative
Produces high quality work
Accepts responsibility
Accepts criticism
Demonstrates organizational skills
Uses technical knowledge and expertise
Shows good judgment
Demonstrates creativity/originality
Analyzes problems effectively
Is self-reliant
Communicates wellT
Writes effectively
Has a professional attitude
Gives a professional appearance
Is punctual
Uses time effectively

Overall performance of student intern (circle one):

Needs improvement/ Satisfactory / Good/Excellent

Additional comments, if any:

Signature of Industry supervisoran

Hokole. HR ger
 U STUDENT FEEDBACK OF INTERNSHIP
AICTE Department of Training & Placement
Haldia Institute of Technology
Student Name: AnuSHkA SHR1YA M Date:S MARCH
Industrial Supervisor:
ARPAM ABUISHE K Title:
Supervisor Email:_ Internship Type: Paid/Unpaid
Company/Organization:ADAPTED BRANS
Internship Address: RoLEATA
Faculty Coordinator: RNKy RAN BNO1AL Dept.: T.
Date of internship: From: 1S Manch .To: 301A Apil.
***Please fill out the above in full detail***

Give a brief description of your internship work (title and tasks for which you were responsible):

Was your internship experience related to your major area of study? (Indicate the degree to which
you agree or disagree with the following statements):

Yes, to a large degree / Yes, to a slight degree No, not related at all

This experience has: Strongly No Disagree Disagree

Agree
Agree Opinion Strongly
Given me the opportunity to
explore acareer field
Allowed me to apply classroom
theory topractice
Helped me develop my decision-
makingand problem-solvingskills
Expanded my knowledge about
the workworld prior to

permanent employment
Helped me develop my written
and oralcommunication skills
Provided a chance to use
leadershipskills (influence others,
develop ideaswith others,
stimulate decision-makingand
action)
Expanded my sensitivity to the
ethicalimplications of the work
involved
Made it possible for me to be
moreconfident in new situations
Given me a chance to improve
myinterpersonal skills
Helped me learn to handle
responsibilityand use my time
wisely
Helped me discover new aspects
 U

AICTE 80 STUDENT FEEDBACK

OF
Department of
Training
Haldia Institute
INTERNSHIP
& Placement
of
ofmyself that
existed before didn't know
TechnologY
Helped me develop
andabilities new interests
Helped me
clarify my
goals career
Provided me with
maylead to future contacts which
Allowed me employment
to
information acquire
and/or use
equipment not available at my
Institute

In the
Institute
you feel that your
internship program, faculty
faculty coordinator served members
such a
are
expected to be mentors for students. Do
function? Why or why not?
houe served hecr
fuposc

How well were you able

to
accomplish the initial goals, tasks and
your learning contract? In what new skills that were set down in
ways were you able to take a
contract? Why were some
new direction or
expand beyond
goals not
accomplished adequately? your

es, houue. o ohiewed e int al

es Sleilo tha e r e ses
pql ana
docwn in
leainee day

In what areas did

you most develop and improve?
deuelopeo in he trel o of ha anohwtf
delopmgnl ,awo, odq Struw rs anef
altonm
 STUDENT FEEDBACK OF INTERNSHIP
ACTESDepartment of Training & Placement T
Haldia Institute of Technology

What has been the most significant

accomplishment or satisfying moment of your internship?
nauchor wu am exrelent Commu nu'cator

What did you dislike about the

internship?

Nit.

Considering your overall experience, how would you rate this

internship? (Circle one).
Satisfactory / Good (Excellent
Give suggestions as how your internship experience could have been
to
handled
improved. (Could you have
addedresponsibility? Would you have liked more discussions with your
concerning your internship? Was closersupervision needed? Was more of an professor
orientation required?)
it w CD veral ve

ushla Jlayart.

25-11-02
l-02
Signature of student with date:
U .
 ATE
A S T
T

NCL1 INTERNSHIP EVALUATION REPORT

Department of Training & Placement
(For 4 yearB. Tech./M. Tech./MBA)

Name and address of organization

ARPAN ARHLSHIK

Marks to be awarded by Overall

| SI Name of the Roll No.
grade
No student
Punctuality Maintenance Skill Test
Grade of Grade
(Satisfactory/ Daily Diary (Satisfactory/
Good/ Grade Good/
Excellent) (Satisfactory/ Excellent)
Good/
Excellent)
etErcelleal
SHRIYAMD02-1g-o09 ErcedentExcetlenrcetlen
AsuSHKA

Pip Rani Blun 2s »]

Signature of faculty mentor withdate
TE
ATTENDANCE
Department SHEET
of Training&
(For 4year
Haldia Institute Placement
of
Technology
Name and
B.Tech./M.Tech./MBA)
address of
organization
ADACATED BRALNS

Name of the student

Roll No.
Name of the course
ANUSH1kA SHRYAM
0021009
Date of commencement Intos mation Teclnolos
Date of completion of of trainin8 1S M0rc
training
3o H APiL
Initials of the student:
gushMa hg
Month: Morch Apil -

Year:20 2 2
Date aY%Z
Entry %%%%I%%% ZZ
Exit

Note:

1. Attendance Sheet should remain affixed in Daily Training Diary.

or tear it off. Do not remove
2. Student should
sign/initial in the attendance column. Do not
3. Holidays should be marked in mark
Red Ink in attendance column. 'P"
marked as 'A' in Red Ink. Absent should be

Signature of Company internship supervisor with company stamp/ seal

Name: lsypan Dhhirhee Contact No: