Application Form for Summer Internship Programme-2017
A. Personal Details
Name * :
Home Address * :
Home Telephone No. * :
Mobile No. * :
E-mail ID * :
Upload Photo (Max 20 KB) * :
On what date could you want to start your project work at GERMI:
(Between 10th to 15th May) * :
High School (Mention Percentage of Marks From Class X Onwards):*
Xth:*                      XIth:*                      XIIth:*                     
IITJEE Rank: AIEEE Rank: Any Other Rank:

CGPA (Semester Wise):
1st Sem: 2nd Sem: 3rd Sem:
4th Sem: 5th Sem: 6th Sem:
7th Sem: 8th Sem:

College Name (attending) * :
College Address * :
Current Year of Study (e.g.: 1st Year) * :
Subject / Specialization * :
Earlier Projects Completed By You * :
Expected Graduation Date/Year * :
Career Interest After College * :
Possible Areas of Interest at GERMI:
(i): (ii): (iii):

Expected / Interested Project Topic (optional) * :
Upload Resume / CV (Max 100 KB)* :
Upload Recommendation Letter (Max 100 KB)* :

* Mandatory

DECLARATION

I hereby certify that the above information are true and correct to the best of my knowledge and in case of any discrepancy, the application will be disqualified.