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Undertaking: B Barauni Refinery (Refineries Division)

This document contains an undertaking form for students undergoing industrial training at Barauni Refinery's Training & Development Centre. The form requires the student's personal details like name, date of birth, father's name, address and contact number. It also requires the name of the course and institute. The student needs to affirm that they have accidental insurance coverage for the duration of the training. The form needs to be signed by the student and certified by the head of the department of the institute, confirming the student's enrollment and academic performance.

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sonu mahipal
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573 views2 pages

Undertaking: B Barauni Refinery (Refineries Division)

This document contains an undertaking form for students undergoing industrial training at Barauni Refinery's Training & Development Centre. The form requires the student's personal details like name, date of birth, father's name, address and contact number. It also requires the name of the course and institute. The student needs to affirm that they have accidental insurance coverage for the duration of the training. The form needs to be signed by the student and certified by the head of the department of the institute, confirming the student's enrollment and academic performance.

Uploaded by

sonu mahipal
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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BARAUNI REFINERY

Training & Development Centre


P.O. Barauni Oil Refinery ,Dist: Begusarai-851 114 (Bihar )

Barauni Refinery (Refineries Division)

Tel : 06243-275277, 275274, 275279


E-mail: [email protected], [email protected],
[email protected]

hjaxx

UNDERTAKING
TO BE SIGNED BY THE STUDENT(S) & INSTITUTE BEFORE COMMENCEMENT OF INDUSTRIAL
TRAINING AT BARAUNI REFINERY,
IOCL
1. Name of the Student
: Ms. / Shri
2. Date
of
Birth(dd/mm/yy)
:
certificate)
3. Fathers Name
: Shri
4. Resident of (Address)
:
5. Name of Course
:
6. Name of Institute/College:
/University

Affix the
passport size
photo
Attested by the
HOD

____________ (As per matriculation

I _______________________________ am aware of the potential hazards at Barauni Refinery.


I have covered myself under accidental insurance cover of sum Rs.___________ vide Policy
No.__________________________ dated _____________ valid upto _____________ issued
by M/s. ____________________________________________ .
I have read, understood and agree to abide by the Terms & Conditions laid out in the letter
No.____________________________________ issued by T&P Centre, Barauni Refinery.
_____________________
( Signature of student )

Mob. No. __________________________


CERTIFICATION

I hereby certify that Shri ____________________________________ S/o________________________


Roll
No.___________________
is
a
bonafide
student
of
this
Institute
pursuing
Diploma/BE/B.Tech./M.Tech./MBA degree course of session from ____________ to _________.
She/he has secured _______________________ %age/points of CGPA upto V semester in this current
year.This training programme is in the partial fulfillment of the requirements for the degree to be
confirmed by the Institute/affiliating University. He/She has been advised to follow the instructions of the
Training & Development Centre, Barauni Refinery.
Signature : ___________________________________
Name of the HOD/_____________________________
T&P Head
Seal of the Institute/College : ____________________

BARAUNI REFINERY
Training & Development Centre
P.O. Barauni Oil Refinery ,Dist: Begusarai-851 114 (Bihar )

Barauni Refinery (Refineries Division)

Tel : 06243-275277, 275274, 275279


E-mail: [email protected], [email protected],
[email protected]

hjaxx
Mob. No._________________ Date ______________

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