INTERNSHIP – I

Mentee’s Information

Title of the Internship I (Activity based):

Name of the Mentor :

Name of the Mentee :

Branch :

USN :

Mobile No. :

Parent’s Name & Mobile No :

Residential Address :

Guardian Address (if parents living abroad) :

Area of Interest (Extra/ Co-curricular

activities) :

SSLC Marks & % :

PUC (12th ) Marks & % :

NUCAT ranking :
Any other related information

Academic Performance
Subject Name Total Marks CIE SGPA
MSE-I MSE-II

I SEMESTER

Subject Name Total Marks CIE SGPA CGPA

MSE-I MSE-II

II SEMESTER

Total Marks
Internship – I Final Marks (out of 100)
(after evaluation, at the end of II semester)

Signature of the Mentor