(This certificate is to be obtained*, in the original letterhead of the Head of the
Department of the Organization where an IIT Guwahati student undergoes and completes
his/her internship programme)
UG/03 Form
To,
The Dean of Academic Affairs,
Indian Institute of Technology Guwahati,
Guwahati – 781 039, Assam, INDIA
Sub: Certificate in regard to completion of Internship programme by
Mr./Ms………………………………………………………….…
Sir,
This is to certify that Mr./Ms……………………………………………………,
bearing IIT Guwahati’s Roll No………………………………….., did his/her Summer
Internship Programme in our organization, from ………………… to …………………..
He/She completed Internship Programme in our organization, in the area of
…………………… ………………………..
His/Her conduct and performance during the said Internship Programme was found to be:
(a) Satisfactory
(b) Unsatisfactory**
Note: * The student shall obtain the certificate in sealed cover from the concerned
authority, and personally handover the same to the Office of the Dean of
Academic Affairs, IIT Guwahati
** If unsatisfactory, please also indicate the reasons thereof.
Date…………. (Name of the signatory in capital letters)
Designation of the signing authority with seal
Additional Note: For any other feedback, please provide the same in additional sheet(s).