INTERNSHIP APPLICATION FORM - EPFL

8 Extra Curriculum Activities
1. Organizer of the event Strategem (developing a marketing strategy) under the
Management Module in Techniche 2011, the annual techno-management festival at IIT
Guwahati.
2. Organizer of the events Alcher Jam and Queen of Sheeba in Alcheringa 2011, the
annual cultural festival at IIT Guwahati.
3. Member of the Dance and Choreography Club of IIT Guwahati.
4. As a member of the National Social Service (NSS) team, was involved in imparting
education to orphans during 2009-2010.
9 For 4 th year dual-degree students only
Is the EPFL internship meant to constitute the first part of a subsequent MTech
project work?
Yes No
If yes, please provide the contact details of your prospective MTech guide to be
contacted by EPFL faculty:
Name:
E-mail:
10 References
1. Dr. Sajal K Deb, Professor and Head of the Department,Specialization:Structural
Engineering,Civil Engineering Department, IIT Guwahati.
Contact no: +91-361-258 2402 Email: skdeb@iitg.ernet.in
skd.iitg@gmail.com
2. Dr. Arup Kumar Sarma, Professor,Specialization:Hydraulic Engineering,Civil Engineering
Department, IIT Guwahati.
Contact no: +91-361-258 2409 Email: aks@iitg.ernet.in
3. Dr. Sujit Kumar Dash, Associate Professor, Specialization: Geotechnical Engineering,
Civil Engineering Department, IIT Guwahati.
Contact no: +91-361-258 2417 Email: sujit@iitg.ernet.in
I certify that my statements in answer to the foregoing questions are true, complete and correct to
the best of my knowledge and belief.
Name:
Abhinanda Dilip
Date:
31.10.2011