STUDENT INTERNSHIP PROGRAM APPLICATION
Department of Electrical Engineering
Chaibasa Engineering College
Complete and submit to the HOD/Internship Program Coordinator. Type or Write clearly.
Student Name :
Registration No.
Affiliation :
Permanent Address: Phone:
Present Address: Phone:
Student email address:
Internship semester and
year:
CGPA:
Internship Preferences :
Location Core Area Company
Preference-1
Preference-2
Preference-3
Faculty Mentor Signature with
Date :
The signature above confirms that the students has attended the internship orientation and has met all
paperwork and process requirements to participate in the internship program, and has received
approval from his/her advisor.
Student Signature with Date:
Signature confirms that the student agree to the terms, condition, and requirements of the Internship
Program.