College request Letter Format - To typed on Institution letter head
Date:
To:
Deputy Manager (HRM),
Recruitment Section, NPCIL, Kaiga Site.
Sir,
Sub: Project Work/ Practical training at NPCIL, Kaiga Site
As a part of curriculum, students of
............................................................(Course & Discipline) ..............(Semester/Year)
need to undergo Project Work / Practical training for a minimum period of
.................... .
In this regard, I request your good self to kindly permit student of our
institution Ms./Shri................................. Reg No ........................ studying in
.......................(Course/Discipline) -..........Sem/Year for carrying out
Internship/Project Work/Practical Training at NPCIL, Kaiga Site from
..................(date) to ................(date).
Information/data provided/collected by the candidates will be kept secret,
highly confidential and used only for the academic purpose.
Your valuable help in this regard will be remembered and gratefully
acknowledged.
Thanking you.
Place: Yours faithfully,
(Name, Designation & Seal of the Head of the Institution)
FORM- II
NUCLEAR POWER CORPORATION OF INDIA LIMITED
(A Govt. of India Enterprise)
PROFORMA TO BE FILLED IN BY STUDENTS INTENDING TO CARRY OUT
PROJECT WORK/ PRACTICAL TRAINING IN NPCIL, KAIGA SITE
Affix passport size
Photograph of the
student duly attested
by the Head of the
institute
1 Name of the student (in full)
2 Father’s Name
3 Date of Birth / Place of Birth
Present Address
4
Phone No.
Permanent Address
5
Phone No.
Name and address of the Institute/College in which studying
including
6 1. Email address
2. Telephone Nos.
3. Name of Principal / Registrar / Head of the Institution.
Name of the degree/diploma course being pursued by the
7
student now and the year/semester
8 Title of the Project proposed to be undertaken
Duration of the Project Work / Practical Trg. (please specify the
9
period)
10 Details of the study
Methods proposed to be adopted by carrying out the Project
11
Work
12 Facilities of NPCIL proposed to be utilized
Name of reference – NPCIL / DAE
13 1.
2.
14 Name & Contact No. of the Person in case of emergency
(Form-II Continued)
UNDERTAKING
1. Upon my request, the Nuclear Power Corporation of India Limited (NPCIL) have kindly agreed to
afford me Project Work / Practical Training facilities in (branch/faculty/
discipline)_______________________________at their_____________________________
Unit/Headquarters.
2. The duration of the training course is proposed to be from dated ___________to__________
3. I hereby undertake that I shall, during the period of training with NPC1L, abide by the terms and
conditions as hereinafter appearing that:
(a) I shall at all times, conform to the rules and regulations of the NPCIL as may be prescribed from
time to time.
(b) I shall at all times observe the health/safety precautions including wearing of uniforms/film
badges as may be prescribed for entry into the plant / place of work.
(c) I shall be liable to make good any loss or damage to the property of NPCIL caused due to my
carelessness or negligence during the course of my training.
(d) In the event of an accident, causing injury/disablement to me or my death during the period of my
training, NPCIL or any of its employees will not be liable to pay any medical expenses or
compensation/insurance coverage and that no claim either or my or on my behalf by
dependents/heirs/clients will lie against NPCIL or any of its employees.
(e) I am aware that there is neither any conviction in any court against me and no criminal case or
police investigation has been initiated or pending against me.
(f) I am aware that NPCIL is a scientific & technical organization of national importance, and I shall
maintain the highest discipline and conduct myself in a befitting manner as regards my approach to
the work, attire / dress code and decorum of the office/work place.
(g) I am aware that the permission granted to me shall stand cancelled in case of any violations by me
of the rules & regulations of NPCIL without assigning any reason/ without notice.
4. I, ____________________________________________________________ son/daughter of
____________________________________________________________student of ____________
year/semester in_______________________________________________ college/institution and residing at
___________________________________________________________________ have
read ”the Indian Atomic Energy Act, 1962” and agree to abide by the provisions of this Act. Further, hereby
solemnly declare and say that I shall not directly communicate or cause to be revealed, by electronic means
or otherwise, to any person or persons any information which has come or may come into my possession in
the course of my training with NPCIL except with the written permission from the Competent Authority of
NPCIL.
Signature of the student:_____________________________
Name: ___________________________________________
Date:___________________
Place:___________________
Recommended and forwarded:
Signature of the Head of the Institution:
Name:________________________
Designation: ___________________
Seal of the Head of the Institution
Nuclear Power Corporation of India Limited
(A Govt. of India Enterprise)
Security Clearance Form
[To be enclosed with Temporary Entry Pass (TEP) Applications]
(Completed form to be retained in Security Section)
Affix passport size
Photograph of the
student duly attested
by the Head of the
institution
Name: (Surname) (First) (Middle) 2. Father’s Name/ Husband’s Name
3. Date of Birth 4. Name of University/ College/ Institution
5. Educational Status 6. Nature of Work in NPCIL (Enclose copy of
authorization)
7. Period for which TEP is requested 8. Identification Marks
From To 1. 2.
9. Address Present
Permanent
Place ______________________
Date ______________________ (Signature of Applicant)
------------------------------------------------------------------------------------------------------------------------------------
CERTIFICATE
Certified that *Dr./Shri/Smt./Kum. ___________________________________________________________
Son /daughter /wife of Shri. ____________________________________________________ whose
particulars are given above is personally known to me for last ____________________ year and he / she is a
bonafide student of this * University/ College / Institution. To the best of my knowledge and belief he/she
bears a good moral character and has no antecedents which would render him/her unsuitable to enter NPCIL
(Nuclear Power Corporation of India Limited) premises, which is prohibited area.
Place:______________ Signature:
Date : _____________ Name & Designation:
Of Head of College/ Institution
With official seal
* Please delete the words not applicable
FORM-IV
UNDERTAKING
(BY NPCIL/DAE EMPLOYEE FOR PROJECT WORK/PRACTICAL TRAINING
PROPOSED BY STUDENT)
Shri/ Smt./ Kum .__________________________________________ the applicant is my
son/daughter/relative (mention relationship) _____________________________________/ is known to me
for last- (mention period of acquaintance) _________ years is pursuing the course
________________________________________________________________________________________
(Name of the course)
in______________________________________________________________________________________
______________________________________________________________________
(Name & Address of the Institute)
He / She may please be permitted to undertake Project Work / Project Training in NPCIL from
____________ to _____________ as per details given above I undertake that the said applicant will be abide
all security and safety instruction of NPCIL.
(A) First Reference
SIGNATURE
NAME
DESIGNATION
EMP/ C.C. NO
DATE:_____________
UNIT/ DIRECTORATE
GROUP/SECTION
OFFICE LOCATION
TEL NO.
(B) Second Reference
SIGNATURE
NAME
DESIGNATION
EMP/ C.C. NO
DATE:_____________
UNIT/ DIRECTORATE
GROUP/SECTION
OFFICE LOCATION
TEL NO.
SPECIMEN COPY – DO NOT USE FOR THE PURPOSE OF APPLICATION
The Application and photograph have to be compulsorily
signed by the Head of the Institution
SPECIMEN COPY – DO NOT USE FOR THE PURPOSE OF APPLICATION
SPECIMEN COPY – DO NOT USE FOR THE PURPOSE OF APPLICATION
1. UNDERTAKING TO BE PRINTED ON THE BACKSIDE OF NON-JUDICIAL BOND OF RS. 100
AND DULY SIGNED BY HEAD OF INSTITUTION.
[Link] THAT IS NOT ATTESTED BY HEAD OF INSTITUTION WILL NOT BE
ACCEPTED/CONSIDERED.
SPECIMEN COPY – DO NOT USE FOR THE PURPOSE OF APPLICATION
SPECIMEN COPY – DO NOT USE FOR THE PURPOSE OF APPLICATION
SPECIMEN COPY – DO NOT USE FOR THE PURPOSE OF APPLICATION
