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Project Details*
Intern ID
Full Name*
Mobile*
Phone
Email Id*
Enter Email Id Confirm Email Id
Alternate Email*
Permanent City*
Date of Birth*
Date Format: DD slash MM slash YYYY
Degree*
Department*
College Name*
Year of joining the college?*
College Address*
City State Country
GPA/CPI/Percentage*
- Percentage
- GPA/CPI
Percentage
Please enter a number from 10 to 100.
GPA/CPI
Please enter a number from 1 to 10.
Gender*
- Male
- Female
- Other
Statement of Purpose*
Will you be able to complete 8 weeks of Internship between May 5 to July 15 ?*
- Yes
- No
Fund Type
Source of Stipend (CPDA/PDA/Project No.)
Stipend (INR/Week )
child entry
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