Internship Registration

Industrial to Academic Interaction Training Program

INTERNSHIP TRAINING PROGRAM FOR BETTER EMPLOYMENT OPPORTUNITIES

REGISTRATION FORM
1. NAME: _____________________________________________________________________

2. Date of Birth: ______________________________________________________________

3. Address: ____________________________________________________________________

4. Pin code: ___________________________________________________________________

5. CONTACT NO: _______________________________________________________________

6. E-MAIL: ______________________________________________________________________

7. QUALIFICATION: ______________________________________________________

8. Branch: ______________________________________________________________

9. Subject Line: __________________________________________________________

10. YES, I Want to Register for IN PLANT TRAINING PROGRAM

Kindly register my name for the above In Plant Training Program. I undertake to pay the
fees as per the Institute/College & TechnoWings rule & Regulations.

Student Signature: ____________________ College Seal & Sign________________________

Date: _______________ Date: _______________