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FORMAT – 1

Student Internship Program Application


Complete and submit to the TPO/Internship Program Coordinator. Type or write clearly.
1. Student
Prithvish Shaunkani
Name:
Phone:
2. Campus Kholvad, Kamrej, Gujarat 394190
Address:

Phone:
D-804 Green Arcade, LP
3. Home Savani Road, Adajan
7990246637
Address: Surat - 395009

3a. Student E-mail Address: [email protected]

4. Academic Concentration 5. Internship Semester: 8


Towards building scalable back-end Year. 4
applications which could be
integrated with various existing
applications

6. Overall GPA: 9.23

7. Internship Preference
Location/Address Core Area Company/Institution

A-Block 211 Union Heights,


Software Glory Autotech
1. Near Rahul Raj Mall,
Engineering
Piplod,Surat,Gujarat 3950087

Supervisor Signature: Date 03/02/2023

Signature confirms that the student has attended the internship orientation and has met all
paperwork and process requirements to participate in the internship program, and has
received approval from his/her Supervisor.

Student Signature: Date 03/02/2023

Signature confirms that the student agrees to the terms, conditions, and requirements of the
Internship Program.

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