Form : FET/TRG/02

FACULTY OF ENGINEERING TECHNOLOGY

OPEN UNIVERSITY OF SRI LANKA
INDUSTRIAL TRAINING COMPLETION FORM
(To be duly filled by the student, get properly certified by the Engineer / Officer-in-charge of training
and handed over to the Training Engineer strictly within 3 weeks from the last date of the training)

:- *Mr./Ms.

01 Name of Trainee
(NB : *Delete what is not applicable)

02 Reg. No.:

03

NIC. No.:

04 Contact details used during the training period :

i.) Postal Address : ------------------------------------------------------------------------------------------------------------------------------ii.) Tel. Nos.: Residence : -------------------------------------------------- Mobile : -----------------------------------------------iii.) Email Address/es+ :

------------------------------------------------------------------------------------------------------------------------(NB : + Write clear simple letters/digits/characters)

05 Field of Specialisation* : / Elect. & Comm. / Electrical / Computer / Mechatronics / Mechanical / BSE/
(NB : *Underline what is applicable) / Civil / Agriculture / Apparel / Fashion / Textile Manufacture / Text. Eng. /

06 Industrial Training Module *: / Electronics / Communication / Software / Power / Agri.I / Agri.II /

(NB : *Underline what is applicable)

/ CivilDiploma / CivilUndergrad: / Mechanical I \ Mechanical II /

/ Apparel I / Apparel II / Mechatronics I / Mechatronics II /
/ Fashion I / Fashion Design & Product Dev. / Knitting / Weaving /
/ Yarn Manufacture / Agri. Eng.I / Agri. Eng.II / Chem. Processing/

07 Period of Training :

From :

To :

08 Details of the Training Establishment :

i.) Name of Establishment : --------------------------------------------------------------------------------------------------------------ii.) Postal Address : ------------------------------------------------------------------------------------------------------------------------------iii.) Tel. Nos.: -------------------------------------------------------------------------------------------------------------------------------------------iv.) Name of Officer-in-Charge of Trainee :

-----------------------------------------------------------------------------------

v.) Phone No. of Officer-in-Charge : -----------------------------------------------------------------------------------------------09 Comments of Engineer / Training Officer-in-charge of Trainee :
i.) Attendance :

Working Days

ii.) No. of days of Leave* :

(NB : *Delete what is not applicable)

Authorised

Unauthorised

iii.) Special Remarks if any :

10 Name, Signature and the Official Seal of the Engineer / Officer-in-Charge of Trainee :
Official Seal :

----------------------------------------------Name :
Date :