Internship Report
Declaration of the Student
I, __________________________, hereby declare that this internship report entitled
“__________________________” has been prepared by me as a partial fulfillment of the
requirements for my degree/diploma.
I confirm that the work presented in this report is my own effort and has not been
submitted to any other institution for academic or professional purposes. Any sources of
information or assistance received have been duly acknowledged in the report.
Name of Student: _____________________
ID Number: _____________________
Signature: _____________________
Date: _____________________
Approval of the Mentor
This is to certify that the internship report entitled “__________________________” submitted by
__________________________ has been prepared under my guidance and supervision.
I have reviewed the report and found it satisfactory. Therefore, I approve it for submission.
Name of Mentor: _____________________
Position/Title: _____________________
Signature: _____________________
Date: _____________________
Approval of the Supervisor
This is to certify that the internship report entitled “__________________________” submitted by
__________________________ has been examined and approved.
It fulfills the requirements and standards of the institution for the internship program.
Name of Supervisor: _____________________
Position/Title: _____________________
Signature: _____________________
Date: _____________________
