Application Form for Summer Internship Programme - 2018

 

Full Name * :
Postal Address (with Pincode) * :
Home Contact Number * :
Mobile Number * :
E-mail ID * :
Upload Photo (Max 20KB)* :
On what date could you want to Start your Project Work at GERMI:
(Between 10th to 20th, 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 100KB) * :
Upload Recommendation Letter (Max 100KB)* :

* 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.