APPLICATION FORM - Student Internship Program at NPC
By National Productivity Council, New Delhi
PERSONAL DETAILS
NAME *
FATHER'S NAME *
DATE OF BIRTH *
MM
/
DD
/
YYYY
GENDER *
NATIONALITY *
(Please provide name of your country)
ADDRESS
(Please provide your complete address with Pincode)
CITY *
STATE *
PINCODE *
CONTACT NUMBER
(Please provide your contact number with STD code)
EMAIL ID *
MOBILE NUMBER *
TENTATIVE START DATE FOR INTERNSHIP
MM
/
DD
/
YYYY
TENTATIVE END DATE FOR INTERNSHIP
MM
/
DD
/
YYYY
EDUCATIONAL QUALIFICATION
(Please provide your academic details)
1. HIGH SCHOOL/SECONDARY/X *
(Please provide details like Program Name, Institute, Year of Passing, Percentage of Marks Obtained, Division)
2. INTERMEDIATE/SR. SECONDARY/XII *
(Please provide details like Program Name, Institute, Year of Passing, Percentage of Marks Obtained, Division)
3. GRADUATION *
(Please provide details like Program Name, Institute, Year of Passing, Percentage of Marks Obtained, Division)
4. POST GRADUATION
(Please provide details like Program Name, Institute, Year of Passing, Percentage of Marks Obtained, Division)
5. ANY OTHER QUALIFICATION
(Please provide details like Program Name, Institute, Year of Passing, Percentage of Marks Obtained, Division)
8. COMPUTER PROFICIENCY
(Please provide details like Name of Degree/Diploma/Certificate & Name of Institute)
PREVIOUS WORK EXPERIENCE
(Please provide your academic details)
1. FIRST COMPANY
(Please provide details like Name of Organization, Designation, Period, Salary per month)
2. SECOND COMPANY
(Please provide details like Name of Organization, Designation, Period, Salary per month)
PUBLICATION
(Please provide your details of publication)
1. FIRST PUBLICATION
(Please provide details like Name of the Research Article/Paper, Publication Details, ISSN No./UGC No., Impact Factor)
2. SECOND PUBLICATION
(Please provide details like Name of the Research Article/Paper, Publication Details, ISSN No./UGC No., Impact Factor)
ANY OTHER INFORMATION WITH RESPECT TO WORK EXPERIENCE AND PUBLICATIONS
(Please select as requested below)
ANY OTHER INFORMATION
SELECT THE DISCIPLINE INTERESTED TO WORK IN
(Please choose any three in order of preference)
DISCIPLINE CHOICE 1 *
(Please click to select)
DISCIPLINE CHOICE 2 *
(Please click to select)
DISCIPLINE CHOICE 3 *
(Please click to select)
SELECT THE LOCATION INTERESTED TO WORK AT
(Please choose any three in order of preference. Please note, your interview/selection would be conducted as per your indicated preference)
LOCATION CHOICE 1 *
(Please click to select)
LOCATION CHOICE 2 *
(Please click to select)
LOCATION CHOICE 3 *
(Please click to select)
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