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DD
MM
YYYY
(Starting Date)
Batch #
DD
MM
YYYY
(Ending date)
Name of Interne
Company Name
______________________________________________________________________
Address
______________________________________________________________________
______________________________________________________________________
Tel. : ___________________ e-mail : _____________________________________
Attendance - Number of days the intern worked during the month : _____________________________
Area (e.g. software development, networking, etc.)
in which the Intern worked during this month? _________________________________________________
Name of the Project (If any) the candidate worked in: __________________________________________
Please specify, in brief, what work has been performed by the candidate: ________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
Software/other tools the candidate used : ______________________________________________________
Evaluate the Interne in terms of the following dimensions in a scale of 5 (tick appropriate number):
(lowest)
(highest)
(A)
Punctuality
(B)
Learning ability
(C)
(D)
(E)
(F)
Date : ....................................