भारत सरकार / Government of India

अं तररक्ष विभाग / Department of Space

iirs
भारतीय सुदूर संिेदन संस्थान / Indian Institute of Remote Sensing
दे हरादू न / Dehradun
Application Form for Internship/ Summer Training/ Project/ Research Work
(to be filled by the student)
Affix the Passport size recent
*************************************************** Photograph

Candidate’s photograph
Part I – Personal information should be attested by
Name Placement
Officer/HoD/Registrar/Dean/H
First: Middle: Last: ______________ ead of Institute of the institute
where candidate is currently
DOB: (mm/dd/yyyy) _____________________
pursuing his/ her study
Address for correspondence: _____________________________________
_________________________________________________________________________________
City: _______________________ State: _______ Pin Code: _______________________
Permanent address: ________________________________________________________________
_________________________________________________________________________________
City: _______________________ State: ______ Pin code: _________________________

Phone: _________________ Mob: __________________ Email address: ______________________

Part II – Educational Details
Subjects/ Year of Board/ University %/ Div./Position/
Specialisation Passing CGPA Remarks
High School or
equivalent
Intermediate or
equivalent
Graduation
(give details)
Post-Graduation
(give details)

Part III – Duration

Time Duration: Month ______________ days_______________
From________________To_________________
Name, Designation and full address of nominating authority: (Placement Officer/ HoD/ Registrar/
Dean/ Head of Institute)
Part IV – Documents to be attached: (mandatory)
Encl: 1. Recommendation Letter from Univ./Inst./College on Letter Head (Please tick)
2. CV of the student (Please tick)
3. Self-attested copies of Mark-sheet and Certificate (Please tick)

I hereby declare that all the information given in this application form are true and correct to the best of
my knowledge and belief.

Date: (Signature of Student)

 Part V
(To be filled, signed & stamped by Placement Officer/ HoD/ Registrar/ Dean/ Head of Institute
of respective University/ Institute/ College)

DECLARATION

I ___________________________________________ (Name of Competent Authority),

__________________________ (Designation), ___________________________________________
(Name of University/Institute/College), hereby declare that __________________________(Name of
the Student), is a bonafide student of our University/ Institute/ College, and I/we nominate him/her for
Internship/ Summer Training/ Project/ Research Work at IIRS, Dehradun from _______________ to
_________________ (Duration).

During the Internship/ Summer Training/ Project/ Research Work, the student will abide by all the Rules
& Regulations of IIRS including security rules & office decorum. In case of any violation of Rules &
Regulations or misconduct, the permission for Internship/ Summer Training/ Project/ Research Work
will be withdrawn by the IIRS.

Date: (Name, Signature along with Stamp)

General Information

1. Only Indian nationals are eligible for Internship/ Summer Training/ Project/ Research Work.
2. Students will be allowed depending on the available seats as well as willingness/ consent of IIRS
faculty to guide/ supervise the student, based upon educational qualifications, subjects, academic
record & duration of project and current involvement of IIRS Faculty.
3. The student should possess an aggregate of a minimum of 60% or a CGPA of 6.32 on a scale of
10 in the disciplines of Science/Technology.
4. Extension of the Internship period will not be entertained.
5. Confirmation letter will be send to the respective University/ Institute/ College by post and/or e-mail.
6. Duly filled applications along with signed & stamped declaration letter will only be considered.
Incomplete applications will be rejected.
7. Students not selected will not be informed.
8. The minimum duration of Internship/ Summer Training/ Project/ Research Work at IIRS is 45 days
and the maximum duration is one year.
9. Student should bring 03 passport size colour photograph, original copies of documents, valid photo
ID proof issued by Govt. of India and ID card issued by Univ./Inst./College.
10. Application may be submitted twice in a year. Last dates for application submission are 31st Oct &
31st March of every calendar year.
11. Completely filled application along with documents should be sent to Group Head, Programme
Planning & Evaluation Group, Indian Institute of Remote Sensing, 4, Kalidas Road, Dehradun –
248001.