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Name: ....................................................................... Enrollment Number: .............................................

Mobile Number: ................................................ E-mail id: .....................................................................


SUMMER INTERNSHIP PROGRAM

Initial Information Report (IIR)


I.

II.

III.

IV.

Project Details:
Title of the project: .....................................................................................................................
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Area of the project: .....................................................................................................................
Objective of the project: .............................................................................................................
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Description of the project in brief: ..............................................................................................
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Organizational Details:
Name of the Organization: ..........................................................................................................
Address of the Organization: ......................................................................................................
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Telephone Numbers: ................................... E-mail: ..................................................................
Main Activity of the Organization: ..............................................................................................
Name and Designation of Head of the Organization: .................................................................
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Work Timings: .................................... Amount of Stipend Expected: ........................................
Facilities available to the student: ..............................................................................................
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Company Guide:
Name: ...................................................... Designation: ..............................................................
Telephone Numbers: ................................... E-mail: ..................................................................
Project Implementation and Schedule:
Schedule: .....................................................................................................................................
Methodology: .............................................................................................................................
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Any other details: ........................................................................................................................
Faculty Guide Name: ...................................................................................................................

Date:

________________
Signature of Student

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