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Application

This document is an application form for a paid internship at C-DOT in Delhi/Bangalore, requiring personal and academic details from the applicant. It includes sections for student information, past work experience, research interests, and necessary enclosures such as a resume and marksheets. Additionally, it contains a declaration and a no objection certificate from the applicant's institute for the internship duration.

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harshitmahajan5520
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3 views4 pages

Application

This document is an application form for a paid internship at C-DOT in Delhi/Bangalore, requiring personal and academic details from the applicant. It includes sections for student information, past work experience, research interests, and necessary enclosures such as a resume and marksheets. Additionally, it contains a declaration and a no objection certificate from the applicant's institute for the internship duration.

Uploaded by

harshitmahajan5520
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Form No: KMG-01

a
m-m
C-DOT
APeLtCATION FORM FOR PAID INTERNSHIPAT_C..OOT AT DELHI/BAN_GA_LQRE

Student Details:

Name \lA \ t=' ~L\


Father's Name M~ \2~A R
DOB ()_~1, ,1~~0 ~
I
Address ~ - s- s . G °'"\\ o. \-\ou se... , J A1Y\ l f,\ C\) ~ ~"'~ ; I
N<? W ~0--\N. - \ 1 o o'l.. S"
Email id ,~o...t~ u. o ~ 6 i @~W\ ~. U!YY\
Adhaar Card No 45 ~by. ~ o '2...4-- 1-11 "s I
I
Mobile No --:J-C( i2-c,~ ~ ~o1-
Choice of Location ~~¼'i

A~aciemic: Detai11

Course Name of Institute Branch CGPA/Percentaae Year of Passina


10th 1 Q,vv.,\ 0
(\I\\\\\0 \t,'\°'MA.<i
I
- ~q,,4 '20 \ <g I
.A
12th 3~o. M,\\,<:i ls'\~o \...J ~tv\Q, ~c:L 'lo ') o"2...O
[Link]/BE 1st Year --
~~u. -M~ \ ~
, \,o \~\On-Mo ' CSc. -:J- .1C\ J-0'2.~
8. Tdch/BE 2nd Year , ~ o (V\h \tt, ,~,~a rs'E
'1-·31 20 2 4- I
[Link]/BE 3rd Year )~o. M~\\{o \~,OrN-4<:\ CSE +-. ?-1... 1-o L. S-
R"-q reh Work Undertaken in Past

Writeup Regarding Area s of Inter est for Research


Work

I
I

I
I
Current Institute Details

Institute Name
<l ~('f \\~ ~\\ ..\. .\~ \~L Arn , A-
Name of T&P I
relevant Head s ~ '{?, t\ \<'. -AL AM
Address
~e. ,~ '-A- ~ ~ C..'Y\C\C\, J~O
Email id M \ \'\\Cl \ s.,~ o_ :i°~CA
o \a_ C.& cne v~ @ t Y'ru. . a.c:. . '- v-, ~t> .~~ C\ )~ ~~ -'- S"
Phone No
~'2 ~"+ -2 \'2- '2.9 '\
Mobile No

I
Enclosures
1. Resume of the Applicant
2. No Objection Certificate from the Inst
itute for the duration of the Internship
3. Marksheets of Class 10th, 12th and
Completed Semesters of [Link]/BE

Declaration

I ¼ A \ \=' V""
Pt- L \ Son/Daughter of M D -Y 7... \--\ A- R.
all the details provided by me in the applicat
ion for the Paid Internship Scheme at C-DOT hereby declare that
information found incorrect at any stage of are true to the best of my knowledge. Any
Internship shall make my candidature liable
paid to me in such case. for cancellation and I shall refund the stipe
nd

Date: 42.. l:, \ o'2 . ' ~ 0'1. .,6 ~


Location \) e. \ 'n.i. (Signature)
Name: \Z.'°", ~ f\- 'L \
NO OBJECTION CERTIFICATE
JO WHOMSOEVER IT MAY CONC
ERN

Thi•s 1s
• to certify
• that Mr/Ms.....\< /\(' \'
.... .....t-w
.... .... .... .... .... ... . .... .... .... .... .... .... ....
~ .. ,
Enrolment No. 2.1-. ~ .c;:;>. ~. ??.~+. ... is a bonafide student of
...'?.<; .~.'?: ~.~ ..:-.·..~ .. \ .~f .'!.~ .. ~
~ .. ~ ~·J(i'). ... Studyin g in
... ~.-~ -~ ~ . ~ f .~) yea r of ......?: ~ .?7 ~.. -::..?.--.?.
.?-:. ~ ....................................

.....J. ~9 .-....M~.\\\?. ....t~ .~


~- '-~ .... .... .... ... (Name of Institu
te), has No
Objection if the student is underg
oing Internship at C-DOT for the
duration
...~ .S... ~ .\ ... ~.~ }-; 5 ........to ...\ .~. 4!~. ~-
0.-. ~.C?. .?-:~

Q ·\l\;r.-C
.........................~~ )M
i~ '
(Si gna t~r tme nt of [Link]..:r Engg 'l~ ~\ o' L\ <t -6
-· -Flo Engg. & Technology
Jam,a M1llia lslamia
New Delhi-110025
r t r-=-, - ~ ' - '

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