PROGRAM BOOK FOR

SHORT-TERM INTERNSHIP
(Onsite / Virtual)

Name of the Student:

Name of the College:

Registration Number:

Period of Internship: From: To:

Name and Address of the Intern Organization:

_____________________University
YEAR
 An Internship Report on
___________________________________________
(Title of the Internship)

Submitted in accordance with the requirement for the degree of

_________________________________________

Under the Faculty Guideship of

_____________________________________________________

(Name of the Faculty Guide)

Department of

_____________________________________________________ (Name

of the College)

Submitted by:

____________________________________________________

(Name of the Student)

Reg.No:__________________________

Department of

_____________________________________________________

(Name of the College)

 Student’s Declaration

I______________________________a student of ______________________ Program, Reg. No.

_____________ of the Department of_________________ College do hereby declare that I have
completed the mandatory internship from _____________to _____________ in
_________________________(Name of the intern organization) under the Faculty Guideship of

_________________________ (Name of the Faculty Guide), Department of

_____________________________, _________________________________________(Name
of the College)

(Signature and Date)

Official Certification
This is to certify that ________________________________________ (Name of the student)
Reg. No. _______________ has completed his/her Internship in _________________ (Name of
the Intern Organization) on ____________________________ (Title of the Internship) under my
supervision as a part of partial fulfillment of the requirement for the Degree of
_________________________ in the Department of ______________________ (Name of the
College).

This is accepted for evaluation.

(Signatory with Date and Seal)

Endorsements

Faculty Guide

Head of the Department

Principal

Certificate from Intern Organization

This is to certify that _________________________________ (Name of the intern) Reg.
No_____________________ of ______________________ (Name of the College) underwent
internship in ___________________________ (Name of the Intern Organization)
from_______________ to ________________

The overall performance of the intern during his/her internship is found to be

___________________ (Satisfactory/Not Satisfactory).

Authorized Signatory with Date and Seal

ACTIVITY LOG FOR THE FIRST WEEK

Day Brief description of the daily Learning Outcome Person InCharge

& activity Signature
Date
 Day-1

Day-2

Day-3

Day-4

Day-5

Day-6

WEEKLY REPORT

WEEK – 1 (From Dt………..….. to Dt………..…..)

Objective of the Activity Done:

Detailed Report:

ACTIVITY LOG FOR THE SECOND WEEK

Day Brief description of the daily Learning Outcome Person InCharge

& activity Signature
Date

Day-1

Day-2
Day-3

Day-4

Day-5

Day-6
 WEEK –

Objective of the Activity Done:

WEEKLY REPORT
2 (From Dt………..….. to Dt………..…..)

Detailed Report:
 ACTIVITY LOG FOR THE WEEK

THIRD

e daily Learning Outcome Person InCharge

Signature
 WEEK –

Objective of the Activity Done:

WEEKLY REPORT
3 (From Dt………..….. to Dt………..…..)

Detailed Report:
 ACTIVITY LOG FOR THE WEEK

FORTH

e daily Learning Outcome Person InCharge

Signature
 WEEK –

Objective of the Activity Done:

WEEKLY REPORT
4 (From Dt………..….. to Dt………..…..)

Detailed Report:
 ACTIVITY LOG FOR THE WEEK

FIFTH

daily Learning Outcome Person InCharge

Signature
 WEEK –

Objective of the Activity Done:

 ACTIVITY LOG FOR THE WEEK

WEEKLY REPORT
5 (From Dt………..….. to Dt………..…..)

Objective of the Activity Done:

Detailed Report:
 WEEK –
SIXTH

e daily Learning Outcome Person InCharge

Signature
 ACTIVITY LOG FOR THE WEEK

WEEKLY REPORT
6(From Dt………..….. to Dt………..…..)

Objective of the Activity Done:

Detailed Report:
 ACTIVITY LOG FOR THE SEVENTH WEEK

Day Brief description of the daily Learning Outcome Person InCharge

& activity Signature
Date

Day-1

Day-2

Day-3

Day-4

Day-5

Day-6
 Day Person
7(From Dt………..….. to Dt………..…..)

Objective of the Activity Done:

Detailed Report:

Day-6
 WEEKLY REPORT

WEEK –

ACTIVITY LOG FOR THE EIGHTH WEEK

Brief description of the daily Learning Outcome

& activity InCharge
Date Signature

Day-1

Day-2

Day-3

Day-4

Day-5
 Day Person
9

Objective of the Activity Done:

Detailed Report:

Day-6
 WEEKLY REPORT

WEEK – (From Dt………..….. to Dt………..…..)

ACTIVITY LOG FOR THE NINTH WEEK

Brief description of the daily Learning Outcome

& activity InCharge
Date Signature

Day-1

Day-2

Day-3

Day-4

Day-5

9
 Day Person

Objective of the Activity Done:

Detailed Report:

ACTIVITY LOG FOR THE TENTH WEEK

Brief description of the daily Learning Outcome

& activity InCharge
Date Signature

Day-1

Day-6
 WEEKLY REPORT

WEEK – (From Dt………..….. to Dt………..…..)

Day-2

Day-3

Day-4

Day-5

10

Objective of the Activity Done:

Detailed Report:
 Day Person

ACTIVITY LOG FOR THE ELEVENTH WEEK

Brief description of the daily Learning Outcome

& activity InCharge
Date Signature

Day-1

Day-2

Day-3

Day-4 Day-6
 WEEKLY REPORT

WEEK – (From Dt………..….. to Dt………..…..)

Day-5

11

Objective of the Activity Done:

Detailed Report:

ACTIVITY LOG FOR THE TWELFTH WEEK

 Day Person

Brief description of the daily Learning Outcome

& activity InCharge
Date Signature

Day-1

Day-2

Day-3

Day-4

Day-5

12

Day-6
 WEEKLY REPORT

WEEK – (From Dt………..….. to Dt………..…..)

Objective of the Activity Done:

Detailed Report:

ACTIVITY LOG FOR THE THIRTEENTH WEEK

Brief description of the daily Learning Outcome

& activity InCharge
Date Signature

Day-1
 Day Person

Day-2

Day-3

Day-4

Day-5

13

Objective of the Activity Done:

Detailed Report:

Day-6
 WEEKLY REPORT

WEEK – (From Dt………..….. to Dt………..…..)

ACTIVITY LOG FOR THE FOURTEENTH WEEK

Brief description of the daily Learning Outcome

& activity InCharge
Date Signature

Day-1

Day-2
 Day Person

Day-3

Day-4

Day-5

Day-6
 WEEKLY REPORT

WEEK – 14(From Dt………..….. to Dt………..…..)

Objective of the Activity Done:

Detailed Report: