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Internship Application Form

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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

Photo

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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