CONTINUOUS INTERNAL EVALUATION- CIE – III

Conducted at the end of 12 th week Date :

Industry Name :

Industry Address :

Intern Name : Reg. No.: Sem : 6th

College : Government Polytechnic, Bidar
Dept. Name: Course : Internship (subject code)

Industrial Training Supervisor Name: Training Start Date :

OJT-2 is assigned by the training supervisor/selected by the interest of intern for next Four weeks and submitted a
handwritten report to the training supervisor and copy to cohort owner focusing on below mentioned parameters.

Note: 1. CIE-III is assessed by the Industrial Training Supervisor using below mentioned Rubrics, 2. Cohort owner
assisted the Industrial Training Supervisor during assessment of CIE-III

Max Marks
Sl.No Assessment of On Job Training (OJT)-2 + use case 2
Marks Awarded
Describe OJT-2 (Student has to write OJT-2 Title and explain it in 1 or 2
1a para) NA NA
1b OJT-2 : Assigned by the training supervisor or interest of intern (why?) NA NA
List and elaborate the Skills related to OJT-2 already Intern have
1c NA NA
(Student has to write, Supervisor will observe)
List and elaborate the Skills to be learned by Intern to complete OJT-2
1d 5
(Student has to write, Supervisor will guide)
Prepare the plan of OJT-2 as shown in format (Student has to write,
1e Supervisor will guide) 5
Intern’s ability to apply the skill and technical knowledge on OJT-2
1f according to the plan of OJT-2 as shown in format (Student has to write 15
work done, Supervisor will Observe)
Intern’s performance based on OJT-2 as observed by Supervisor
1g during OJT-2 work done(1f). 15
Extent of Intern’s ability to add value to the organization through
1h internship 10
2 Documenting of Use case-2 on a task where he is working as intern 30
Total : 80

Intern Sign. Industrial Training Supervisor Sign.

( CIE-3 Report is submitted to me )

Cohort owner Sign. HOD Sign.

Cohort owner Name : ME Dept.
Govt. Polytechnic Bidar
Intern should send Soft copy (if any) of the Report and PPT to email : [email protected]
 Describe OJT-2 (Intern has to write OJT-2 Title and brief it in 1 or 2 para)

-1 Title :
Brief OJT-2 in 1 or 2 para
OJT-2 : Assigned by the training supervisor or interest of intern (why?)
 List and elaborate the Skills related to OJT-2 already
Intern have

Sl. No. Skills and experience

 List and elaborate the Skills related to OJT-2 already
Intern have

Sl. No. Skills and experience

 List and elaborate the Skills to be learned by Intern to complete OJT-
2
Sl. No. Skills required (to be learned)
 List and elaborate the Skills to be learned by Intern to complete OJT-
2
Sl. No. Skills required (to be learned)
 Prepare the plan of OJT-2
(Intern has to write, Supervisor will guide)
Start Date : End Date :
OJT-2
Sl. Planned Knowledge, Skills
Job/Task Hours
No Date will be learned
planned
 Prepare the plan of OJT-2
(Intern has to write, Supervisor will guide)

OJT-2
Sl. Planned Knowledge, Skills
Job/Task Hours
No Date will be learned
planned
 Prepare the plan of OJT-2
(Intern has to write, Supervisor will guide)

OJT-2
Sl. Planned Knowledge, Skills
Job/Task Hours
No Date will be learned
planned
 Prepare the plan of OJT-2
(Intern has to write, Supervisor will guide)

OJT-2
Sl. Planned Knowledge, Skills
Job/Task Hours
No Date will be learned
planned
 Intern’s ability to apply the skill and technical knowledge on OJT-2
according to the plan of OJT-2 as shown in format (Intern has to write
work done, Supervisor will assess)
Start Date : End Date :
OJT-2
Sl. Knowledge, Skills
Date Job/Task/work done Hours
No learned
spend

Remarks :

Supervisor Sign.
 Intern’s ability to apply the skill and technical knowledge on OJT-2
according to the plan of OJT-2 as shown in format (Intern has to write
work done, Supervisor will assess)
Start Date : End Date :
OJT-2
Sl. Knowledge, Skills
Date Job/Task/work done Hours
No learned
spend

Remarks :

Supervisor Sign.
 Intern’s ability to apply the skill and technical knowledge on OJT-2
according to the plan of OJT-2 as shown in format (Intern has to write
work done, Supervisor will assess)
Start Date : End Date :
OJT-2
Sl. Knowledge, Skills
Date Job/Task/work done Hours
No learned
spend

Remarks :

Supervisor Sign.
 Intern’s ability to apply the skill and technical knowledge on OJT-2
according to the plan of OJT-2 as shown in format (Intern has to write
work done, Supervisor will assess)
Start Date : End Date :
OJT-2
Sl. Knowledge, Skills
Date Job/Task/work done Hours
No learned
spend

Remarks :

Supervisor Sign.
 Intern’s ability to apply the skill and technical knowledge on OJT-2
according to the plan of OJT-2 as shown in format (Intern has to write
work done, Supervisor will assess)
Start Date : End Date :
OJT-2
Sl. Knowledge, Skills
Date Job/Task/work done Hours
No learned
spend

Remarks :

Supervisor Sign.
 Intern’s ability to apply the skill and technical knowledge on OJT-2
according to the plan of OJT-2 as shown in format (Intern has to write
work done, Supervisor will assess)
Start Date : End Date :
OJT-2
Sl. Knowledge, Skills
Date Job/Task/work done Hours
No learned
spend

Remarks :

Supervisor Sign.
 Extent of Intern’s ability to add value to the organization through internship.
(Intern should write)

Intern Sign. Supervisor Sign.

Extent of Intern’s ability to add value to the organization through internship.
(Supervisor should write)

Supervisor Sign.
`
Documenting of Use case-2 on a task where he is working as intern
`
Documenting of Use case-2 on a task where he is working as intern
`
Documenting of Use case-2 on a task where he is working as intern
`
Documenting of Use case-2 on a task where he is working as intern