CENTRAL SCIENTIFIC INSTRUMENTS ORGANISATION

Sector 30, Chandigarh

Application Form for 6-12 Month Industrial Training

Registration No. 945

Name of the Institute BCET, Gurdaspur

Affix a passport
Name of the Student Mr. Prashant Nath
size photograph
Father’s Name Sh. Chetan Nath here

Date of Birth 09-October-1988

Permanent Address H.No. 788/17, Mohalla Rang Mahal, Gurdaspur-143521

E-Mail Address nathbiotech2007@gmail.com

Contact No. 9465726117

Name of the Pursuing Degree/Course B.Tech

Branch / Discipline Bio-Technology

Aggregate %age Obtained 70.50

Interests:

First Preference Biomedical Instrumentation

Second Preference Nano Bio Photonics

T&PO of the Institute Details

Name Sh. Parmod Kumar Yadav

E-Mail Address pkyadav75@yahoo.co.in

Contact Number 9417073495

1. Certified that the information furnished by me is correct.

Countersigned by :
2. I have read and understood the Instructions/Notes.

Training & Placement Officer

Date of Submission 20-October-2010 Signature of Candidate

(For Office Use Only)

Recomended And Associated With

Vertical / Horizontal / Project Leader / Working Scientist

Incharge Training and Development

HRD, CSIO Chandigarh
 CENTRAL SCIENTIFIC INSTRUMENTS ORGANISATION
Sector 30, Chandigarh
Application Form for 6-12 Month Industrial Training

Instructions/Notes

• Please read the eligibility criteria before applying. Your training may be terminated anytime if it is found that you are not meeting any
of the set criteria.
• The list of selected candidates would be provided on the website two weeks before the date of joining.
• Only the selected candidates need to bring the printout of the form dully signed by the Training and Placement officer of your
institute. The signed form needs to be submitted at the time of reporting for training.
• Original DMCs shall be verified at the time of joining.
• Any student involved in indecent or unlawful activities or not observing discipline will be disallowed to continue his/ her training and
the matter would be reported to the respective college/University.
• For any damage to the test equipment/property of CSIO, actual cost may be recovered from the erring student(s).
• The trainee will be required to maintain absolute secrecy regarding work process, operation reports and statistical information etc.,
concerning the Organisation and no drawings, charts and sketches or any literature related to the Organisation or machinery whatsoever
shall be communicated by the trainee (s) to anybody without written permission from the Organisation.
• Report as per schedule to: Training & Development Cell, HRD Group, CSIO, Sec-30, Chandigarh

Notes(For M.TECH students):

M.Tech Students are strongly advised to contact possible Mentor in CSIO and make choice of research topic/area as per their two
preferences.
Joint Declaration by Faculty and Student
1. I agree to work for my M.E./M.Tech. dissertation under the overall guidance and
Supervision of___________________________________________ of CSIO.
2. I shall put my heart and soul into the work and shall make a presentation of the work done by me as and when required to the CSIO
Team.
3. During the course of my dissertation work, I shall make my own arrangements for boarding & lodging.
4. I absolve CSIO from any responsibility of any accident etc. or injury sustained by me during my tenure at CSIO.
5. I will be responsible to make good all losses or damages to equipment or machinery belonging to this organization arising out of
negligence of duty on my part. My sponsoring Institute shall be responsible for the recovery of such loss (es) from me.
6. Any Intellectual Property/Publication generated out of my work will be sole and exclusive property of CSIO; neither me nor my
sponsoring Institute will have any legal/moral claim on those.

Signature of the student ________________________________ Date:

Name _________________________________________________________________

Affiliation ______________________________________________________________

Countersigned by _____________________________________ Date:

Name & Designation of the Faculty Member ___________________________________

Name of Institution _______________________________________________________