Internship Registration Form 1

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International School of Business & Media, Bangalore

Internship Registration Form (I.R.F.)


(To be submitted to the Program Office on or before April 15th 2010)*

1. Name & other details


Name
ISB&M ID/Roll No
e-mail id
Landline
Mobile no
Father’s name
Father’s contact details (Ph)

2. Summer internship Guide details


Name of company
Address

Landline numbers
Name of reporting head
Designation of reporting head
Landline numbers (Ph)
Mobile no.
e-mail id

3. Project/ work assigned after the commencement of the internship till now.

4. Any other area/ point for discussion/ inputs

Signature of the student Signature of the Mentor


Date :
*(i) Students placed outside Bangalore: Submit the duly filled form through Email & courier.
(ii) Students placed in Bangalore: Submit the duly filled form in person.

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