Nagar YuwakShikshanSanstha’s Form No YI-06

YeshwantraoChavan College of Engineering

(An Autonomous Institution affiliated to RashtrasantTukadojiMaharaj Nagpur University)
(Accredited 'A' Grade by NAAC)
Hingna Road, Wanadongri, Nagpur - 441 110
Ph.: 07104-242919, 242623, Fax: 07104-242376, Website: www.ycce.edu
E-mail : principal@ycce.edu, info@ycce.edu

Department of Electronics Engineering

PROFORMA FOR EVALUTION OF INTERNSHIP BY INSTITUTE

Ph. Fax Email____________________

Evaluation (I)_____________________________________________________________

1. Name of Student _________________________ Mob. No. ______________

2. College Roll No. _________________________ Enrolment No. ______________
3. Branch/Semester _________________________ Period of ______________
Training
4. Home Address with ______________________________________________________
contact No.
5. Address of Training Site: ______________________________________________________
6. Address of Training ______________________________________________________
Providing Agency:
7. Name/Designation of ______________________________________________________
Training In- charge
8. Type of Work ______________________________________________________
9. Date of Evaluation ______________________________________________________
a) Attendance: (Satisfactory/ Good/ Excellent)
b) Practical Work:(Satisfactory/ Good/ Excellent
c) Faculty’s Evaluation: (Satisfactory/ Good/ Excellent)
d) Evaluation of Industry:(Satisfactory/ Good/ Excellent)

Overall grade: (Satisfactory/ Good/ Excellent)

Signature of Faculty Mentor Signature of Internship Supervisor (Industry)

With date and stamp

*Photocopy of the attendance record duly attested by the training in-charge should be
attached with the evaluation Proforma.

Version-2 2021-22