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Internship Application Form

Name:
Ph.No:
Father/ Guardian Name:
Ph.No:
Email ID:
Gender:
DOB:
Address:
College/ University:
Course:
Branch:
Year of Study:
Roll No:
Internship:
Duration:
Date of Joining:
Date of Completion:
Here by all the above Information is True and I accept the terms and conditions for being a non paid intern at Vishishta Innovators PVT LTD
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Application Date:
Intern ID:
KATTA SASI KUMAR
katta Bala koteswararao
Nov 26, 2004
Chakicharla-sri Sri nagar-4/134
RiseKrishnasaigandhigroup of institutions
B.Tech
2nd Year
218B1A0448
Embedded System & IoT
1 Month (4 Weeks)
May 30, 2023
May 2, 2023
VI23CINT194
8978132841
8978132841
Male
Signature of Intern
KATTA SASI KUMAR
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