Internship_Programme_of_Ministry_of_Railways Rly.PDF

4 q 6 annexure li application form for internship

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(Annexure-lI) Application form for Internship Programme MINISTRY OF RAILWAYS (RATLWAY BOARD) 1. Name of the candidate : (in block letters - Leave a space vacant between first name, middle name and surname) (a) Correspondence Address (in block letters) (b) Permanent address (in block letters) a J . Date of birth (day/month/year) 4 . Passport size photograph with full signature of the candidate T e I N o F a X N o P I N c o d e E M A I L T e I I N o F a X N o P N c o d e Gender (write'M' for male and 'F' for female)
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sl. No Degree/ Qulification acquired Name of college/ school/ institution Univ. /Board Marks obtained (%ase\ Year > 2 - : 5. Educational Qualification(s) (Highest to be mentioned first) 6. (a) Details of projects undertaken, if any: (b) Present status: 7. Discipline(s) in which internship is sought: 8. Specific area(s) of work (in block letters) for the internship, in orcler of priority: ( i ) ( i i ) (ii i ) 9. Location/Citypreferred: 10. Duration (months) 77. Any other relevant information: 72. I certify that the information furnishecl above is true to the best of my knowledge and belief. (Signature of the candidate) Date: Place Authentication of particulars furnished above by the Institute/University This is to certify that the information furnished by Mrs./Ms./Mr. in the form of application above is correct to the best of our knowleclge. Recommendations by HOD/ faculty. 1 . n (Signature & Seal of Authorized Official)
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