Internship Registration

Icon Institute Of Computerworld

Tally Point Computer Education, Dhubri, Assam

Registered Under The
Societies Registration Act XXI of 1860

Patliputra University Internship Program

Thank you for your interest in interning with Icon Institute Of Computerworld. Please fill out this form carefully.

Internship Registration Form

Fill all required fields carefully

Personal Information

Student Name *

Father's Name *

Mother's Name *

Gender *

Date of Birth *

Address *

Academic Information

Internship Topic *

College Name *

Honours Subject *

Current Semester *

Class Roll No *

University Name *

University Roll Number *

University Registration Number *

Contact Information

Contact Number *

WhatsApp Number

If different from contact number

Email Address *

Upload Documents

Photo (Max: 500 KB, JPG/PNG/JPEG)

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Signature (Max: 300 KB, JPG/PNG/JPEG)

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Declaration / घोषणा

Declaration:

I hereby declare that the information provided above is true to the best of my knowledge. I understand that any false information may lead to cancellation of my application.

घोषणा:

मैं घोषणा करता/करती हूँ कि उपरोक्त दी गई जानकारी मेरी जानकारी के अनुसार सत्य है। किसी भी गलत जानकारी की स्थिति में मेरा आवेदन निरस्त किया जा सकता है।

I accept the above declaration / मैं उपरोक्त घोषणा स्वीकार करता/करती हूँ *

All fields marked with * are required. The information provided will help us understand your background and preferred internship duration.

Need Help?

Contact our support team for assistance

Call Us

+91-9085562833

Email Us

iconworldorgin@gmail.com

Visit Us

Regional Office
Majer alga, P.o-Joruar char, Dist-Dhubri Assam. 783339