Annexure-I

THE ENTRIES OF PROGRAM BOOK

■ Title Page
■ Internship Report Front Page
■ Student’s Declaration
■ Official Certification
■ Certificate from Intern Organization
■ Acknowledgements
■ Contents

Chapter 1 : Executive Summary

The internship report shall have only a one-page executive summary. It shall include five
or more Learning Objectives and Outcomes achieved a brief description of the sector of
business and intern organization and summary of all the activities done by the intern
during the period.

Chapter 2: Overview of the Organization

Suggestive contents:
A. Introduction of the Organization
B. Vision, Mission and Values of the Organization
C. Policy of the Organization, in relation with the intern role
D. Organizational Structure
E. Roles and responsibilities of the employees in which the intern is placed.
F. Performance of the Organization in terms of turnover, profits, market reach and
market value.
G. Future Plans of the Organization.

Chapter3: Internship Part

Description of the Activities/Responsibilities in the Intern Organization during the
Internship, which shall include - details of working conditions, weekly work schedule,
and equipment used, and tasks performed. This part could end by reflecting on what kind
of skills the intern acquired.
 Activity Log for the Week (For Every Week)
 Weekly Report (For Every Week)

Chapter 4: Outcomes Description

 Description of the work environment the student have experienced (in terms
of people interactions, facilities available and maintenance, clarity of job roles,
protocols, procedures, processes, discipline, time management, harmonious
relationships, socialization, mutual support and teamwork, motivation, space and
ventilation, etc.)

 Description of the real time technical skills the student have acquired (in
terms of the job- related skills and hands on experience)

 Description of the managerial skills the student have acquired (in terms of
planning, leadership, team work, behavior, workmanship, productive use of time,
weekly improvement in competencies, goal setting, decision making, performance
analysis, etc.
  Description of how the student could improve the student communication
skills (in terms of improvement in oral communication, written communication,
conversational abilities, confidence levels while communicating, anxiety
management, understanding others, getting understood by others, extempore
speech, ability to articulate the key points, closing the conversation, maintaining
niceties and protocols, greeting, thanking and appreciating others, etc.,)

 Description of how the student could enhance the student abilities in group
discussions, participation in teams, contribution as a team member, leading a
team/activity.

 Description of the technological developments the student have observed

relevant to the subject area of training (focus on digital technologies relevant
to your job role)

■ Photos & video Links

■ Student self-evaluation

■ Evaluation by the supervisor of the intern organization

 Annexure-II

TITLE PAGE

PROGRAM BOOK FOR

(SHORT-TERM / SEMESTER-TERM) INTERNSHIP

COLLEGE LOGO

Name of the Student:

Name of the College:

Registration Number:

Period of Internship: From: To:

Name & Address of the Intern Organization

________________________________University
YEAR
 Annexure-III

INTERNSHIP REPORT FRONT PAGE

An Internship Report on
________________________________________

(Title of the Short-Term / Semester Internship Program)

Submitted in accordance with the requirement for the degree of

________________________________________________

Under the Faculty Guideship of

_________________________________________

(Name of the Faculty Guide)

Department of
________________________________________________
(Name of the College)

Submitted by:

________________________________________________________________
(Name of the Student)
Reg.No: ____________________

Department of __________________

(Name of the College)

 Annexure-IV

STUDENT’S DECLARATION

Student’s Declaration

I,______________________________ a student of ______________________ Program, Reg. No.

_____________ of the Department of_________________ College do hereby declare that I have

completed the mandatory internship from _____________to _____________ in ____________________

(Name of the intern organization) under the Faculty Guideship of _________________________ (Name

of the Faculty Guide), Department of _____________________________,

____________________________________ (Name of the College)

(Signature and Date)

 Annexure-V

OFFICIAL CERTIFICATION

Official Certification

This is to certify that ________________________________________ (Name of the student)

Reg. No. _______________ has completed his/her Internship in _________________ (Name of

the Intern Organization) on ____________________________ (Title of the Internship) under my

supervision as a part of partial fulfilment of the requirement for the Degree of

_________________________ in the Department of ______________________ (Name of the

College).

This is accepted for evaluation.

(Signatory with Date and Seal)

Endorsements

Faculty Guide

Head of the Department

Principal
 Annexure-VI

CERTIFICATE FROM INTERN ORGANIZATION

Certificate from Intern Organization

This is to certify that _________________________________ (Name of the intern) Reg.

No_____________________ of ______________________ (Name of the College)

underwent internship in ___________________________ (Name of the Intern

Organization) from _______________ to ________________

The overall performance of the intern during his/her internship is found to be

___________________ (Satisfactory/ Not Satisfactory / Good).

Authorized Signatory with Date and Seal

 Annexure-VII

WEEKLY ACTIVITY LOG

ACTIVITY LOG FOR THE _____(S.No.)WEEK

Day & Date Brief Description of The Learning Person

Daily Activity Outcome In-Charge
Signature

Day –1

Day - 2

Day –3

Day –4

Day –5

Day –6
 Annexure-VIII

WEEKLY REPORT

WEEKLY REPORT
WEEK – S.No. (From Dt…….….. to Dt…..................... )

Objective of the Activity Done:

Detailed Report:
 Annexure-IX
STUDENT SELF-EVALUATION

Student Self-Evaluation of the Short-term / Semester Internship

Student Name:

Registration Number:

Term of Internship: From: To:

Date of Evaluation:

Organization Name & Address:

1 Oral communication 1 2 3 4 5

2 Written communication 1 2 3 4 5

3 Proactiveness 1 2 3 4 5

4 Interaction ability with community 1 2 3 4 5

5 Positive Attitude 1 2 3 4 5

6 Self-confidence 1 2 3 4 5

7 Ability to learn 1 2 3 4 5

8 Work Plan and organization 1 2 3 4 5

9 Professionalism 1 2 3 4 5

10 Creativity 1 2 3 4 5

11 Quality of work done 1 2 3 4 5

12 Time Management 1 2 3 4 5

13 Understanding the Community 1 2 3 4 5

14 Achievement of Desired Outcomes 1 2 3 4 5

15 OVERALL PERFORMANCE 1 2 3 4 5

Date: Signature of the Student

 Annexure-X
EVALUATION BY THE SUPERVISOR OF THE INTERN
ORGANIZATION

Evaluation by the Supervisor of the Intern Organization

Student Name:

Registration Number:

Term of Internship: From: To:

Date of Evaluation:

Organization Name & Address:

Name & Address of the Supervisor with Mobile Number:

Note: Please note that your evaluation shall be done independent of the Student’s self-evaluation.

Rating Scale: 1 is lowest and 5 is highest rank

1 Oral communication 1 2 3 4 5

2 Written communication 1 2 3 4 5

3 Proactiveness 1 2 3 4 5

4 Interaction ability with community 1 2 3 4 5

5 Positive Attitude 1 2 3 4 5

6 Self-confidence 1 2 3 4 5

7 Ability to learn 1 2 3 4 5

8 Work Plan and organization 1 2 3 4 5

9 Professionalism 1 2 3 4 5

10 Creativity 1 2 3 4 5

11 Quality of work done 1 2 3 4 5

12 Time Management 1 2 3 4 5

13 Understanding the Community 1 2 3 4 5

14 Achievement of Desired Outcomes 1 2 3 4 5

15 OVERALL PERFORMANCE 1 2 3 4 5

Date: Signature of the Supervisor

 Annexure – XI

INTERNAL ASSESSMENT STATEMENT

INTERNAL ASSESSMENT STATEMENT

(To be used by the Examiners)

Name of the Student:

Programme of Study:

Year of Study:

Group:

Register No/H.T. No:

Name of the College:

University:

S.No. Evaluation Criterion Maximum Marks Marks Awarded

1. Activity Log 10

2. Internship Evaluation 30

3. Oral Presentation 10

GRAND TOTAL 50

Date: Signature of the Faculty Guide

 Annexure – XII

EXTERNAL ASSESSMENT STATEMENT

EXTERNAL ASSESSMENT STATEMENT

(To be used by the Examiners)

Name of the Student:

Programme of Study:

Year of Study:

Group:

Register No/H.T. No:

Name of the College:

University:

S.No Evaluation Criterion Maximum Marks

Marks Awarded
1. Internship Evaluation 80
2. For the grading giving by the Supervisor of 20
the Intern Organization
3. Viva-Voce 50
TOTAL 150
GRAND TOTAL (EXT. 50 M + INT. 100M) 200

Signature of the Faculty Guide

Signature of the Internal Expert

Signature of the External Expert

Signature of the Principal with Seal