Internship/Membership/Volunteer Form

Name of student :-

Name of college (Mandatory for college internship) :-

Address of college(Mandatory for college internship) :-

Contact number :-

Date of birth :-

Sex :-
Female
Male
Residential Address :-

Present Education(Mandatory for college internship) :-

Starting date of internship(Mandatory for college internship) :-

Ending date of internship(Mandatory for college internship) :-

Aadhar number :-

Please pay Rs.100 form charges on below mentioned number or QR and paste the transaction ID in the field below

95944 36655

Transaction Id :-

I agree to the terms and conditions below :-

1) Once form charges paid will not be refundable.
2) Submit copy of Aadhar card, College ID and Passport size photo in office.
3) Expenses incurred while completing the task will take care by member by their own.
4) Certificate will be given after the completion of the tenure mentioned on the form.