STUDENT INTERNSHIP REGISTRATION FORM
Fields marked as
*
are mandatory
The project duration: in between 3 months and 12 months.
Preferred mode of Internship
*
Online
Offline
STUDENT INFORMATION
Full Name
*
Mr.
Ms.
Gender
*
Male
Female
TG
Mobile Number
*
E-mail Id
*
Date of Birth
*
Nationality
*
Indian
Foreign
COMMUNICATION ADDRESS
Address Line1
*
Address Line2
City
*
State
*
Pin Code
*
QUALIFICATION DETAILS
XII Percentage of Marks
*
GRADUATION DETAILS
Choose Your Course Name
*
Select Course
B.Sc.
BCA
B.E.
B.Tech
Enter Stream/Subject
*
Percentage of Marks
(upto last Sem/Yr if continuing)*
Year of Completion
*
Institute/College/University
*
POST GRADUATION DETAILS
Choose Your Course Name
Select Course
M.Sc.
MCA
M.E.
M.Tech
Enter Stream/Subject
Percentage of Marks
(upto last Sem/Yr if continuing)
Year of Completion
Institute/College/University
GUIDE DETAILS AT INSTITUTE/COLLEGE/ UNIVERSITY
Guide/Mentor
*
HOD
GUIDE
DEAN
PRINCIPAL
Email ID
*
PROPOSED GUIDE AT NCPOR
(The students may contact Scientist(s) at NCPOR, Goa as proposed guide
and get their consent via e-mail.
The consent should be uploaded while uploading/submitting the application form)
Name
Email ID
PROPOSED PROJECT DETAILS
Choose the subject/specialization for the project/training at NCPOR
Choose the Subject/Specialization
Anthropogenic contamination and environmental impact
Cyrosphere and Climate
Deep Crustal Studies
Delimitation of the outer limits of the continental shelf
Evolution of the Himalaya and the origin of the monsoon
Gas Hydrate
Hydrothermal Mineralisation
Indian Ocean Geoid Low
Isotope Geochemistry
Kingsfjordan Flagship Program
Long-range transport of aerosol in Polar Region
Microbial Diversity
Paleoclimate Research
Polar Precepitation
Sea Ice Ocean climate interaction
Southern Ocean ecosystem dyanmics
Survey of the EEZ
Software Development related project work for ICT Division
Tropical Indian Ocean Dynamics
Start Date
*
End Date
*
Area of Interest(Only enter key words)
*Max 50 characters
DECLARATION
I certified that all the information stated above is true to the best of my knowledge.
I shall produce all the relevant original certificates/documents at the time of internship joining at NCPOR for verification.