Report format

This form must be completed and submitted to the HDL by all Candidates

Date_________________ Time__________________________

Name of Organization: ______________________________

Types of business: _________________________________

Name of the Head of Organization:_______________________

Position:________________

Number of employees:__________Male:__________________Female:________

Name of HDP candidate:___________________________________

University: ___________________________________

Date Summary of activities Hours spent

I confirm that the report above is an accurate statement of the time I spent in the
organization

Signature:__________________position in organization:__________________

Organization’s stamp