SAMADHAN

256, Krishna Vihar Jakhan,

Rajpur Road, Dehradun 1
Uttarakhand India
Email samadhan09@rediffmail.com
Phone 091- 989-77-57-509

(For All Indian Students)

This Application form should be filled completely & must be submitted in Original with all required signature / stamp / seal at the time of arriving at Samadhan.

Name & Address & Personal Details

Full Name :

Telephone Nos. & Contact Details:

Address :

Country & State

Phone Codes:

City:

Day Phone No.

State :
Postal /
Pin code:
Any ID No.
Date of Birth:
Year in the
Law School:

Evening Phone No.

Email ID :
Nationality :
Country of Origin :

Law School / Institute Name:

& Location.
Any Previous Work
Experiences in the field of
Law or in Law Firm?
Past / Present involvement in
any NGOs or in any Voluntary
Organizations?
(Give Activity / Work Details If any)

Education / Qualifications
(Till Date)
Please Mention any specific area
of interest of study or work
experience that you want to gain
in the field of law, while you are
with Samadhan DDN. (If Any)

Fathers Occupation

Mention the Current Major

Subjects / Topics for the Law
Diploma / Degree that you are
pursuing.

Mothers Occupation

Please mention the Date as

of when you wish to START
the Internship / Externship.

If youre Start Dates are 100% Confirmed

mention the start date below here

What is the Period of Externship /

Internship you want to do?
(Mention in Days / Weeks or Months)
Must be Approved & Signed by the Authorized
Person who is aware of this Externship /
Internship Program from the Law School.
(Please Mention the Authorized persons
Name / Designation & Signature.

Web Site www.samadhanngo.com

Name:

Designation :
Signature : &
Seal of the Institute

If youre Start Dates are NOT 100% Confirmed

Mention the Approximate Start Date below here

The Applicant Extern / Intern Student are

required to read carefully the Terms &
Conditions and the Information given along
with this Application form.
I the above Applicant Extern / Intern Student
Confirms to al the above as true to my
knowledge & agrees to all the Terms and
Conditions.
Applicant Signature:

NOTE (1) Please Print this Application Form on A4 Size paper (on a Single sheet of Paper Front & Back). It
should not be printed on 2 separate sheet of Paper.(2) After Completing this Form Scan both side of the pages and
send it by email to samadhan09@rediffmail.com Prior to Arriving at Samadhan for Internship / Externship.

SAMADHAN
256, Krishna Vihar Jakhan,
Rajpur Road, Dehradun 1
Uttarakhand India
Email samadhan09@rediffmail.com
Phone 091- 989-77-57-509

Terms & Conditions and Information

1.

Samadhan is an absolute Non Profit and Non Funded Organization (All our Projects are operated by Internal Member Fund or Corpus
Fund); hence we do not provide any type of Pay to the Interns or Externs.
All Interns & Externs are required to meet their own expenses such as a) Return Train / Air Ticket b) Medical expenses (if any) e) Local
Transportation d) Travel expenses for Long Distance Field Visit / work (if any) e) Laundry etc.
All Externs / Interns will get a FREE Food facility at Samadhan Campus only for the entire Externship / Internship program. (Food shall
consist of 3 Vegetarian Meals Breakfast / Lunch / Dinner As per Samadhans Menu).
All Externs / Interns need to pay to Samadhan a minimum charge towards Registration & Enrolment for Externship / Internship program.
(see below). On or before the arrival to Samadhan Dehradun, (preferably by Bank Draft Only).

2.
3.
4.

Please send the Registration &

Enrolment Charges by Crossed
Bank DD.
Favoring - Samadhan
Payable at Dehradun

S. No.

Duration of
Externship /
Internship

Registration
& Enrolment
charges

Extend
Training
Charges

Externship /
Internship for
- 7 to 30
Days

Rs. 6,000.00

NIL

Extended
Externship /
Internship for
( 31 to 90
Days)

Rs. 6,000.00

Rs. 4,800.00

The Bank Draft may be taken from

any Bank
Send the Bank DD along with the
Application Form and the letter of
Intent / Your Resume / 2 Nos.
Passport size Photograph.
5.
6.
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8.

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Samadhan maintains a Drug and Smoke free work environment; hence we do not permit any kind of Drug / Smoke / Alcohol or any type of
intoxicating material to be used within the Campus.
Doing Externship / Internship program at Samadhan, consist of Real life work + Training + Mentoring. Hence all Externship / Internship
program are extensive in nature and require 10 to 12 Hours of work or more per day.
All Externs / Interns are required to carry their own Laptops for their Field & Research and Assignment work.
Externs / Interns will be evaluated on daily basis and a weekly summary Performance Report will be given and a Final Performance Report
shall be sent to the Law School to the authorized person. And all Externs / Interns shall be awarded with Certificate on successful
completion.
All Externs / Interns will be required to give written Feedbacks (as and when required).
All Externs / Interns are required to make their own work file and presentations (where ever required) for the Assigned work and cases.
All Externs / Interns are required to follow Samadhans internal office system and Rules & Regulations; these will be clearly mentioned
during the First Day of the Orientation.
All Externs / Interns will be handed over with a Time and Training Schedule on the first day of the Orientation.
All Externs / Interns are required to follow Formal (Simple) Dress Code within the Samadhan office.
All Externs / Interns are required to have a Formal Dress consisting of Black Trouser + White Shirt (full sleeve) + Pair of Black Lather
Shoe. Please remember without this Dress code you will not be permitted to enter the Indian Court Room (as & when ever you are
required).
All Externs / Interns are required to carry their Law School ID Card To visit Police Stations & offices / Court / Prisons / Government
Offices etc (as and when & where ever required). Must attach a photocopy of the same along with this form.
Samadhan works on various types of Sensitive nature of Cases Hence if an Extern / Intern is assigned to work on such case at any point
of time, Samadhan May pass an Order to the particular Extern / Intern (or Group) to withdraw from such Sensitive Case And thereafter
the particular Extern / Intern (or Group) shall restrict from making any type of direct or indirect interaction or contacts with any / all
persons or Group/s involved with the assigned Case, failing to do so shall be Expelled from the Internship / Externship Program with
immediate effect and without giving any explanation and Notice.
If the Extern / Intern is involved Directly / indirectly in any type of activity which is against in the interest of Samadhan, shall be Expelled
from the Internship / Externship Program with immediate effect and without giving any explanation and Notice.
Samadhan is located in the City of Dehradun on the foot hills of Himalayas Hence the Temperature & Weather condition are as follows :
a) October to March is Winter ( 10-C TO -1-C ) b) April to June is Summer (20-C TO 35-C) c) July TO September is Rainy Season (15-C
TO 30-C).
Samadhan has in-campus Food facilities, providing hygienic and quality food and experienced to cater to various Nationals.
All Externs / Interns must attach a separate Resume along with this Application form Scanned along with Passport photograph.
All Externs / Interns if you have any kind of clarifications you may contact by E-mail at samadhan09@rediffmail.com

All Externs / Interns are required to fill the

Externship / Internship Application form in BLOCK
letters. Scan this Application form and send within
60 Days prior to the start of Externship / Internship.
Send it by email to samadhan09@rediffmail.com

I the above Applicant Extern / Intern Student Confirms that I

have agreed to all the Terms and Conditions as mentioned
above.

_____________________________________

Web Site www.samadhanngo.com

Applicant Signature: