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    Name of Student: 2. Name and Address of Institution/University

    Uploaded by

    Rajesh Magapu
    This document contains forms for engineering students and INAE fellows regarding a mentoring program. The student form collects academic and contact information from the student, as well as details on their proposed project and mentor. The mentor form collects contact information from the INAE fellow and details on the student and organization where mentoring will occur. Both forms require signatures and are submitted to the INAE office for consideration in the mentoring program.

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    Name of Student: 2. Name and Address of Institution/University

    Uploaded by

    Rajesh Magapu
    31 views3 pages
    This document contains forms for engineering students and INAE fellows regarding a mentoring program. The student form collects academic and contact information from the student, as well as details on their proposed project and mentor. The mentor form collects contact information from the INAE fellow and details on the student and organization where mentoring will occur. Both forms require signatures and are submitted to the INAE office for consideration in the mentoring program.

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    nomination_form_for_mentoring_of_engg_students.docx

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    This document contains forms for engineering students and INAE fellows regarding a mentoring program. The student form collects academic and contact information from the student, as well as details on their proposed project and mentor. The mentor form collects contact information from the INAE fellow and details on the student and organization where mentoring will occur. Both forms require signatures and are submitted to the INAE office for consideration in the mentoring program.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    31 views3 pages

    Name of Student: 2. Name and Address of Institution/University

    Uploaded by

    Rajesh Magapu
    This document contains forms for engineering students and INAE fellows regarding a mentoring program. The student form collects academic and contact information from the student, as well as details on their proposed project and mentor. The mentor form collects contact information from the INAE fellow and details on the student and organization where mentoring will occur. Both forms require signatures and are submitted to the INAE office for consideration in the mentoring program.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    INDIAN NATIONAL ACADEMY OF ENGINEERING

    PROFORMA FOR MENTORING OF ENGINEERING STUDENTS


    PART-I
    (To be filled in by the Engineering Student)
    (No direct correspondence from Engineering Students will be entertained at INAE Office)

    1. Name of Student :

    2. Name and Address of :


    Institution/University

    3. Discipline and Year :

    4. Address, Telephone No., :


    Email address of Student

    5. Academic Record of Student :


    (Eligibility minimum 75% or
    minimum 7.5 CGPA)

    Class/Y School/College/Institution/University Discipline Marks/Division/


    ear Grade/CGPA*
    X

    XII

    1st Year
    B.E./
    B.Tech
    2nd Year
    3rd Year

    * at the time of application. Please note in the absence of the formula not provided by the
    University/Institution, the CGPA will be multiplied by 0.90 to determine the percentage of marks obtained
    for consideration of merit by the Committee.
    b) Other Academic/Technical Contributions:
    i) Projects carried out with titles

    ii) Publications in journals/conferences/workshops

    iii) Participation in engineering/technical competitions showing evidence of novelty/creativity


    /innovativeness etc.

    iv) Other academic achievements


    6. Name of Mentor :

    7. Name and Address of :


    Organization where INAE
    Fellow (Mentor) is serving/
    Contact Address of Mentor
    (if retired)

    8. Title and Abstract of work to : Please enclose as Annexure I


    be undertaken and likely
    benefits of the proposed
    study

    9. Statement of Purpose &


    Motivation

    10. Duration and Period of :


    Mentoring
    Undertaking by Engineering Student

    I have not applied for mentorship under any other INAE Fellow under this scheme

    Date : Signature of the Engineering Student ______________________

    Signature of Dean/Head of the Department


    of concerned EngineeringCollege and Seal

    Name

    Designation and Address

    E-Mail Mobile

    PART –II

    (To be filled in by the INAE Fellow)

    1. Name and Designation of Mentor (INAE Fellow)_____________________________________


    _____________________________________________________________________________

    2. Engineering Discipline and Field of Specialization____________________________________


    __________________________________________________________________________

    3. Contact Address, Telephone No., Fax, E-mail_______________________________________


    ___________________________________________________________________________

    4. Institutional Affiliation__________________________________________________________
    ____________________________________________________________________________

    5. Name and Institution of Student whom you have identified for mentoring_________________
    _________________________________________________________________________

    6. Period and Duration of mentoring*_________________________________________________

    7. Name and Address of Institution/University/Industry/Organization where the Engineering


    Student shall be mentored ______________________________________________________
    __________________________________________________________________________
    __________________________________________________________________________

    Date : Signature of the INAE Fellow _______________


    Place :

    *Please note: A Fellow can mentor up to two engineering students who will not be from the same
    institution/college/university/organization

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