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    Summer 03

    Uploaded by

    Vipin Kusahwaha
    This document is a summer internship application form for an Indian Institute of Technology in Kanpur. It requests information such as the applicant's name, date of birth, degree program, preferred research areas, dates for the internship, as well as educational details and awards. If accepted, the applicant agrees to follow all rules of the institution and pay any required fees including a 3000 rupee caution deposit. The form also requires endorsement from the applicant's college confirming they are a student in good standing.

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    Summer 03

    Uploaded by

    Vipin Kusahwaha
    10 views3 pages
    This document is a summer internship application form for an Indian Institute of Technology in Kanpur. It requests information such as the applicant's name, date of birth, degree program, preferred research areas, dates for the internship, as well as educational details and awards. If accepted, the applicant agrees to follow all rules of the institution and pay any required fees including a 3000 rupee caution deposit. The form also requires endorsement from the applicant's college confirming they are a student in good standing.

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    This document is a summer internship application form for an Indian Institute of Technology in Kanpur. It requests information such as the applicant's name, date of birth, degree program, preferred research areas, dates for the internship, as well as educational details and awards. If accepted, the applicant agrees to follow all rules of the institution and pay any required fees including a 3000 rupee caution deposit. The form also requires endorsement from the applicant's college confirming they are a student in good standing.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    10 views3 pages

    Summer 03

    Uploaded by

    Vipin Kusahwaha
    This document is a summer internship application form for an Indian Institute of Technology in Kanpur. It requests information such as the applicant's name, date of birth, degree program, preferred research areas, dates for the internship, as well as educational details and awards. If accepted, the applicant agrees to follow all rules of the institution and pay any required fees including a 3000 rupee caution deposit. The form also requires endorsement from the applicant's college confirming they are a student in good standing.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
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    Application No

    Summer Internship Form (A)

    Indian Institute of Technology Kanpur


    For summer internship starting in May __________ (Year) Last date of receipt of completed application: March 31, ________ (Year)
    Send the completed application form with copies of mark sheets/grade cards and 1 signed photograph to

    Head Dept. of .. IIT Kanpur, U.P. 208016

    PLEASE FILL UP IN BLOCK LETTERS


    1. Full Name (Ms/Mr): Date of Birth: 2. 3. . //19..

    Paste your photograph

    Studying for a Degree in . (specify degree and subject) (a) The Department in IIT Kanpur you want to work in . (b) Please indicate in the space provided below two areas of research/study in order of preference in the Department written above 1st choice 2nd choice.. (c) Write the name of the faculty you contacted (if any) in the above Department about your training/internship in IIT Kanpur ................ (d) The date you want to start your training/ internship in IIT Kanpur (e) The date you want to leave your training/ internship in IIT Kanpur

    4.

    (a) Permanent Postal Address... (b) Address for Correspondence . (c) Phone no. / fax no .. (d) E-mail address _____________________________________________________________________________ For IITK use only: Admitted yes/no Supported by Project (if so) No Supervisor. Training Approved/Not Approved

    (HEAD)

    5.

    Educational Details: (please provide all possible details and enclosed attested copies of mark/grade sheets of all the years in your college/university studies) Degree/ College/ University Year Class % marks Rank in Subject Exam School / or Grade class Board Std. X/ SSC or Equivalent Std. XII/ HSC or Equivalent B.Sc/BE/ B.Tech. 1st year B.Sc/BE/ B.Tech. 2nd year B.Sc/BE/ B.Tech. 3rd year B.Sc/BE/ B.Tech. 4th year Other

    Expected date of completion of the present degree is 6. Awards/Scholarships received. 7. Any other information. I certify that the information above is correct. If selected for training/ internship in IIT Kanpur. I agree to abide by all rules and regulations of IIT Kanpur and pay the required fees. Also I agree to deposit a sum of Rs.3000/- as caution money to IIT Kanpur. (Signature) 8. Endorsement: I certify that (Ms/Mr.). is a student of good Standing in .. year of . In my College/ University/ Institute and a training of .. months in IIT Kanpur will be beneficial in (her/ his) studies. Signed Head of the Department / Principal/ Director of Seal Date./../20. Place..

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