ResearchInternship Application Form

Research Internship

Application Form

Application Date:
CANDIDATE'S PERSONAL DETAILS
* Name of the Candidate
* Gender	Male Female
* Upload Photo

POSTAL ADDRESS FOR CORRESPONDENCE
* Address Line1:
Address Line2:
* State:
* City:
* Pin Code:
* Candidate's Mobile No.
* Email Address
Alternate Mobile No.

Educational Qualification (Starting from graduation onwards and upto last degree obtained)
Examination	Subjects/ Discipline/ Specialization	Year of Pass	Aggregate Percentage of Marks	Name of the Board/University	Division/ Class
* Intermediate/ Equ.
* Graduation
Post Graduation

Publication in referred Journals (if any):

Experience (if any) :			Degree Pursuing
Department			Name & Address of the Institution/University
Research Topic			Subject Specialization (if any)
List of Attachments : 1.Transcripts 2.Resume 3.Bonafide Certificate 4.Identity Card
* Transcripts
* Resume
* Bonafide Certificate
* Identity Card
Arrange to send two recommendation letters of supervisors before due date.
Name of the Centre @ NIAM preferred
Duration:
If you would like to propose any new academic activity, please specify.
A brief one page outline of Research activity proposed at NIAM during internship(1000-1500 words)