Delhi Pharmaceutical Sciences and Research University, DPSRU

Govt. of NCT, New Delhi

School of Physiotherapy - Training Details

1. Enrollment no: __________________________________________

2. Name of the student: __________________________________________ Passport size
3. Address: __________________________________________ photo
__________________________________________
4. Program: __________________________________________
5. Internship : At ____________________From ____________ to ______________.

Rules and Regulations

1. In the event of unsatisfactory report, disciplinary/remedial action may be initiated as decided by
the Head of the Institution.
2. The student will abide by all rules and regulations of Institution/Hospital where they are posted.
3. Student shall be responsible for proper use of equipments of the Institute/Hospital where they are
posted. She/he shall be liable to pay for damages caused to equipments resulting from improper
use by her/him.
4. Posting of the students at various Institutes/Hospitals is at the discretion of the Institute. Each
student should be posted so as to gain experience with handling of both indoor as well as outdoor
patients.

Undertaking

I ________________________ vide Enrollment no. ________________________ will abide by the rules

and regulations of clinical training as decided by the Institution from time to time.

Signature of the Student