Registration No……

TON DUC THANG UNIVERSITY

FACULTY OF BUSINESS ADMINISTRATION

REGISTRATION FORM FOR

PROFESSIONAL INTERNSHIP REPORT
Student’ name:.............................................................................................................................
Date of birth:...............................Class ID:..................... Student ID:.........................................
Major:..........................................................................................................................................
Address: (most available contact information in case of emergency)
.....................................................................................................................................................
Mobile number:.................................................. Email:.............................................................
Email provided by University (compulsory):..............................................................................
Name of Company of Professional Internship:...........................................................................
.....................................................................................................................................................
Department:.................................................................................................................................
Company’s address:.....................................................................................................................
.....................................................................................................................................................
Company’s telephone number (of the Department for Internship):............................................
Professional Instructor:.................................................Mobile number:...................................
REGISTERING THE REPORT TOPIC:
Title of Professional Internship Report: ....................................................................................
.....................................................................................................................................................
.....................................................................................................................................................
Supervisor:...................................................................................................................................
……., Date…………………………..
ACCEPTANCE CONFIRMATION BY STUDENT
SUPERVISING LECTURER (Full name and signature)

Notes:
1. Deadline for registration form submission is …………... Otherwise, student’s name
will be excluded out of the list of interns.
2. In the case of changing Professional Internship Report’s title, student is required to
register with the faculty’s office not later than …………….. Otherwise, student is not
allowed to continue writing the Professional Internship Report.