Program Book
for
Community Service Project
Name of the Student:
Name of the College:
Registration Number:
Period of CSP: From: To:
Name & Address of the Community/Habitation:
Community Service Project Report
Submitted in accordance with the requirement for the degree of ………….
Name of the College:
Department:
Name of the Faculty Guide:
Duration of the CSP: From………To………
Name of the Student:
Programme of Study
Year of Study:
Register Number:
Date of Submission:
Student’s Declaration
I,…............. ,a student of …….Program, Reg. No. ………………
ofthe
Department of……., ……………… College do hereby declare that I
have
completed the mandatory community service from…….. to ……
…….in
………………. (Name of the Community/Habitation) under the Fac
ulty
Guideship of................., (Name of the Faculty Guide),
Department
of………………in …………………………… College
(Signature and
Date)
Endorsements
Faculty Guide
Head of the Department
Principal
Certificate from Official of the Community
This is to certify that ………………………. (Name of the Community Ser
vice
Volunteer) Reg. No……………… of …………………… Name of the Coll
ege)
underwent community service in …………………………… (Name of
the
Community) from……………… to …………………..
The overall performance of the Community Service Volunteer during his/
her
community service is found to be ………………. (Satisfactory/Good).
Authorized Signatory with Date and
Seal
ACKNOWLEDGEMENTS