CSIR - National Chemical Laboratory
(Council of Scientiific & Industrial Research)
Dr. Homi Bhabha Road, Pune -411008, India
APPLICATION FORM
To
The Director
CSIR - National Chemical Laboratory
Dr. Homi Bhabha Road
Pune 411008
Sub: Application for internship.
Application No:CSIR-NCL/2026/1/[Link]/16
Guide/Project Leader & Internship Details
Internship Title: Upcoming Internship Program
Guide/PL Name: Dr. M Karthikeyan Email [Link]@[Link]
Division: CHEMICAL ENGINEERING & PROCESS Phone: 02025902483
DEVELOPMENT NA
Appearing Qual. B. E,B. TECH
Alternate Name Alt. Email:
Alt. Contact:
Intern Personal Details
Full Name: SUJITHA BANU B A DOB 15/05/2007
Email: [Link]@[Link] Gender: FEMALE
Mobile No. 8072257488 Aadhaar No. 280968885360
Proposed 18/05/2026 Proposed 17/07/2026/2
Intership From To/Duration
Postal Address: 5, SENGUTTUVAN STREET , KURINJI NAGAR, CHROMPET CHENNAI TAMIL NADU
INDIA 600044
Parmanent 5, SENGUTTUVAN STREET ,, KURINJI NAGAR, CHROMPET, CHENNAI,TAMIL NADU,
Address: 600044
Intern Academic Qualifiction
Degree Pass Or Appear Subject/ College/ Board/ State % Year Phd Thesis
Appear Semester Specialize Institute University (In Submited
Name(if Name case or
Applicable) Appli Awarded &
c- Date
able)
SSC Pass LANGUAG N.S.N Tamil TAMIL 81.20 2022
ES , MATRICULA Nadu NADU
MATHS , TION Board of
SCIENCE , HIGHER Secondary
SOCIAL SECONDAR Education
Y SCHOOL
HSC Pass COMPUTE N.S.N Tamil Tamil 77.17 2024
RSCIENCE MATRICULA Nadu Nadu
, TION Board of
CHEMISTR HIGHER Higher
Y, SECONDAR Secondary
PHYSICS , Y SCHOOL Education
MATHS
B. SC Appear 4th CHEMISTR MADRAS MADRAS Tamil
Semester Y CHRISTAIN UNIVERSI Nadu
COLLEGE TY
Intern Any Other Qualification/Fellowship/Award[OPTIONAL]
Title Major Subject Descriptio College/ % State Year Board/
n Institute/Not (In case Univ./Not
Applicable Applicabl Applicable
e)
Additional Information (Publication, training Program, Project Work, Workshop, Experience, Past
Internship etc.)[OPTIONAL]
Title Description
Declaration : I hereby declare that all the particulars furnished in the above said application are true, complete
and correct to the best of my knowledge and belief. In the event of any information being found false at any
stage, my candidature is liable to be rejected.
Submission Date: 13/05/2026 Signature of Candidate
NOTE:
1. Candidates are not required to send/ submit hard copy of application form to NCL. However, the candidates
are advised to bring the hard copy of the Application form, in case get offer for internship program.
2. No TA/DA will be admissible.
3. In case position available, Student intern will be intimated by email.
4. No further Inquires follow-ups will be entertained.