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Affiliation

1) This document is an application form for a university to grant collaborative industry-based internships. 2) It requests personal information from the administration head such as their name, date of birth, address, qualifications, experience, and contact details. 3) The administration head must sign each page of the form to declare the information is complete and correct and that they will abide by all university rules and directions.

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Feroz Khan Usman Khan
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111 views

Affiliation

1) This document is an application form for a university to grant collaborative industry-based internships. 2) It requests personal information from the administration head such as their name, date of birth, address, qualifications, experience, and contact details. 3) The administration head must sign each page of the form to declare the information is complete and correct and that they will abide by all university rules and directions.

Uploaded by

Feroz Khan Usman Khan
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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ABHIJYOT Career FORUM

COLLEGE OF ENGINEERING & POLYTECHNIC


JALGAON.
A, University U/S 2f of UGC Act 1956, (Established by Govt. of Sikkim under act No.4 of 2006)

Application for the Grant of Collaborative Industry based Internship point


INSTUCTION: Fill all the sections of form will be rejected . Administrative controller must sign every page of the form

SECTION I
PERERSONAL PROFILE OF ADMINISTRATION HEAD:
1. Name: _________________________________________________________________
2. Fathers Name :______________________________________________________
3. Date of Birth :____________________________________________________________
4. Sex : M
F
5. 5.Nationality:_________________________
6. Full Postal Address:_______________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
District:__________________________________ State:______________________________
Pin Code:
7. Official Communication:
Telephone no.(With STD code) :______________________________ Telefax : ______________
Mobile No.: +91
/+91
Email:_________________________________________________________________________
8. Academic Qualification :( Use separate sheet if, necessary)(starting from highest Qualification)
Sr.No. Course
University / Institution
Year of Completion

9.

Profession & Experience: (Use separate sheet if necessary)(Starting from present and fill last 3 Professions, if, Applicable)

H
kindly enclose a copy photo ID and Address proof.

I declare that all the information given by me is complete and correct to the best of my knowledge. I further declare that I will abide by all the rules of University and associates
and the direction given under the same.

Date:

Administration Head Signature & Seal

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