Department of Technical Education

FORMAT - 3
Agreement

This Agreement is between the student, cohort owner and internship provider. It shall serve to
clarify the educational purpose of the internship and to ensure an understanding of the total
learning experience among the student, cohort owner and Industrial training supervisor

Part I: Contact Information

Student

Name: Sharath Babu M B Student ID: 149CS20040 Class Year: 03

College Address: Government polytechnic, Chitradurga -577 501

City, State: Karnataka, Chitradurga

Phone:8296739733 Email: sharathpb01@gmail.com

Industrial Supervisor

Name: Ekant Hiremat Designation: Project manger

Company/Organization: KNOWX innovation (p) Ltd

Address: # 56 || Floor, Pushpagiri complex, 17th cross 8th main, Opposite Water tank,
Vijayanagar, Bengaluru City, State: Karnataka, Bangalore Pin: 40

Phone: 9986709224 Email: uma@knowxindia.com

Cohort owner
Name: Raghavendra M Y Designation:Lecture in CS & E
Phone: 9535589911 Email:raghavendramy09@gma
il.com

College Address: government polytechnic chitradurga

Academic Credit Information

Program: computer science and engneering
Pathway: Artificial Intellegence and machine learning Credits: 16

Beginning Date: 20-02-2023 Ending Date: 03-06-2023

Hours per Week: 40