University of Petroleum & Energy Studies

SUMMER INTERNSHIP 2011 JOINING FORM

Please fill in the following details regarding your Summer Internship Program (SIP) 1. Name of the Organization:

2. Postal Address:

3. Project Title & Description:

4. Name of the mentor: (Mr./Ms./Dr.)

5. Designation:

6. Email id of my mentor:

7. Mobile no. of my mentor:

8. Date of Commencement (DD/MM/YYYY):

9. Date of Completion (DD/MM/YYYY):

Signature: Date: Place: E- mail Mobile:

University of Petroleum & Energy Studies

In Case of emergency, please contact: Mr. /Ms. Relationship Landline with STD code: Mobile No.