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DIRECTORATE OF DISTANCE EDUCATION

KURUKSHETRA UNIVERSITY KURUKSHETRA
(Established by the State Legislature Act XII of 1956)

PROFORMA-I
Proforma for Approval of Topic/Name of the Supervisor of Dissertation/Project Field Worlc/
Translation Work/ Training Report to be submitted in partial fulfillment of the course.

NOTE.- Please send tfils Pmforzna duly filled In to tA/s Dtrecforafe and sfart the worh on reaelpi of
tfie approval tell ed I'rorn th/s 0/zecforaw
PARTICULARS OF THE CANDIDATE:

(a) Name/ Father Name Course/Class:

DDERef. No.: Year/Part (I/II/III):
Session: January 2020
(b) Topic (in English)

(in Hindi)

SIGNATURE OF THE STUDENT

Address:

Mob. No.:
Dated: Email:

PARTICULARS OF THE SUPERVIS st:

(a) Name: Fiesignation:
Qualifications: Teaching Experience: UG Years
Postal Address: PG Years

(b) University/Institute where working:

CONSENT OF THE SUPERVISOR:
I hereby convey my consent for supervising the work of the above mentioned candidate as indicated above
which would be his/her original work.

Dated:
SIGNATURE OF THE SUPERVISOR
(with office stamp, if any)
APPROVAL OF THE COURS6COORDINATOR:

The above mentioned Topic and Name of the Supervisor are hereby:

1. APPROVED 2. NOT APPROVED dua to _

Dated: Signature
(COURSE COORDINATOR)
 DIRECTORATE OF DISTANCE EDUCATION
KURUKSHETRA UNIVERSITY KURUKSHETRA
(Established by the State Legislature Act XII of 1956)

Proforma for Approval of Training Establishment for undergoing Practical Training/ Internship in partial
fulfillment of the requirement of the Course.
NOTE.- Please seed tfiis Proforma duly filled in fo this Directorate and start ihe work on receipt of ihe approval teller
from ifiis Directorate
PARTICULARS OF THE CANDIDATE:
(a) Name/ Father Name Gnurse/Glass:
DDE Ref. No.:
Year/Part(I/II/III): Session: January 2020
(b) Area of Training(inEngIish)

(in Hindi)

SIGNATURE OF THE STUDENT

Address:

Mob. No.:
Dated: Email:

PARTICULARS A THE SUPERVISAt:

(a) Name: Designation:
Qualifications:
PostalAddress:
(b) Organization where working:

CONSENT OF THE SUPERVISOR:

I hereby convey my consent for supervising the work of the above mentioned andidate as indicated above
which would be his/her original work.
Dated: SIGNATURE OF THE SUPERVISOR
(with office stamp, if any)
DETAILS OE ESTABLISHMEMT FOR TRAINIMGfIMTERNSHIP•

(a) Name in full (With complete address

(b) Category (Training/Internship, Manufacturing and others)
(c) Proposed Area of Training/Internship:
(d) Period of proposed Training/Internship:
(e) Status/Annual turnover of the Training/Internship Establishment:
IMe hereby convey my/our consent for imparting training/internship on the topic indicated above to be
submitted by the above mentioned candidate.

Dated:
SIGNATURE OF THE AUTHORIZED OFFICIAL
with Stamp/seal
APPROVAL OF THE COURS6COAtDINATOR:

The above mentioned Topic/Supervisor and training/internship establishment are hereby:

1. APPROVED 2. NOT APPROVED dua to _

Da‹ad: Signature
(COURSE COORDINATOR)