Application for Internship at MDN

Please fill in the following fields.

  1. Student Name
  1. Course Name
  1. Branch Name
  1. College/University
  1. Present Address
  1. Permanent Address
  1. E-MAIL ID
  1. Phone Number
  1. Mobile Number
  1. At what speed can you type (in WPM)
  1. Are you capable of performing soldering tasks?
 Yes   No
  1. Do you smoke or drink?
 Yes   No
  1. Do you consume alcohol?
 Yes   No
  1. Have you indulged in software piracy?
 Yes   No
  1. Please give details of a faculty member willing to recommend you and personally vouch for your behavior


Faculty Name:

Faculty Phone:

Faculty Email:
  1. How many hours/week will you be at MDN during the semester (excluding sessionals/final)?
 (hours/week)
   

  1. How many hours/week will you be at MDN during the break (excluding 2 weeks off to visit family)?

(hours/week)
   
  1. Where do you plan to do your final semester Practice School?
 MDN  Other
If Other, give details
  1. CGPA Marks:

1st Semester: 2nd Semester:

3rd Semester: 4th Semester:

5th Semester: 6th Semester:

7th Semester:
  1. Technical Projects Done:
What:
Where:
When:
From:
To:
  1. Awards:
  1. Extra curricular Activities:
  1. Other Training:
  1. Do you intend to attend any other club, training, etc. during your internship at MDN?        
 Yes   No
If yes, give details
  1. Are you planning on doing an internship at MDN through IAESTE?
 Yes  No
  1. Are you planning on doing an internship abroad?
 Yes  No
  1. Earliest available date:  

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