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Application for engagement of student pursuing engineering / MBA as an Intern in PHL various office locations

 

PLEASE FILL IN CAPITAL LETTERS
Name of Course Pursuing
Domain and Area of Internship Slot (Pls tick & mention stream)
Have you ever been engaged as intern before
Location preference in order of 1st, 2nd & 3rd
Delhi Mumbai Rajahmundry Port Blair
Noida Guwahati Laskshadweep  
Upload Photograph Here..
PERSONAL DETAILS
 
1. Name of the candidate:
2. Name of the Husband/Father:
3. Date of Birth :
4. Age as on:
5. Category :
Name of the Caste/Tribe:
6. State of Domiclle (State belonging to):
7. Do you belong to PWD Category (Please Specify):
8. In case PWD indicate the degree of Disability: %
9. Gender:
10. Complete Correspondence Address:
State District
Pin
11. Qualification (10th on wards, mention the exact date of passing):
Name of
Exam
Passed
Course
Name of
Board/Institute

/ University
Duration of
Course
Date of
Admission
(DD/MM/YY)
Date of Passing
(DD/MM/YY)

Aggregate Percentage
of Marks Obtained

12. Datails of Insititute/University where pursuing Higher Study :
Name & Address of the University/Institution

Recognized
By

Duration of Course
(dd/mm/yyyy)

Present
Semester

Marks Obtained in various
semester

From

To

1st 2nd 3rd 4th 5th 6th 7th
13. Email id :
14. Phone No. : Mobile No
15. Aadhar No.
 
I HEREBY DECLARE THAT THE ABOVE INFORMATION IS TRUE TO THE BEST OF MY KNOWLEDGE. I UNDERSTAND AND THAT MY CANDIDATURE WILL BE CANCELLED, IF THE INFORMATION IS FOUND TO BE FALES OR INCORRECT OR MY APPLICATION IS INCOMPLETE
 
Place & Date:


Signature of the Candidate


10th Document of the Candidate


Aadhar of the Candidate

 
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