Internship Registration form

INTERNSHIP REGISTRATION FORM

Icon Academy of Professional Studies, 2nd Floor , Kohinoor Complex, Biswanath College Road, B. Chariali
General Details :
Name

First NameLast Name
Father's/Guardian Name
Mother's Name
Permanent Address

Village/Town Name

Post Office

DistState

PIN
Phone Number (Whatsapp)

Area CodePhone Number
Training Centre Name
College Name
Gender
Email
example@example.com
Caste
Date of Birth
Religion
Academic Details
Semester
Stream
Department (for Major Students only)
College /University Roll No
University Registration No
Select Internship Trade
Other Details :
Aadhar No
PAN No
ABC ID
Upload Passport Photo

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INTERNSHIP REGISTRATION FORM