LNMU Internship Registration

1. Student Information

Student Name *

Father's Name *

Mother's Name

Registration No. *

Class Roll

2. Academic Information

University

Discipline *

Course / Program *

Semester *

Session *

3. Contact Information

Mobile Number *

Email Address *

Address *

District

State

PIN Code

4. Internship Details

Internship Domain *

Mode *

Duration *

Preferred Start Date

5. Document

Upload Student ID / University ID / Supporting Document

Allowed formats: PDF, JPG, JPEG, PNG. Maximum size: 2 MB.

6. Declaration

I hereby declare that the information provided by me is true and correct to the best of my knowledge. I understand that submission of this form does not by itself guarantee selection for the internship.