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HPNN/NN/BM4

INTERNS’ RECEPTION FORM


Receptionist’s full name: ...........................................................................................................

Position: ....................................................................................................................................

Supervisor’s full name: .......................................................................................................................

Position: ...............................................................................................................................................

Organization’s name: ................................................................................................................

Organization’s address:..............................................................................................................

Phone number: .................................................... Fax: ............................................................

Internship period: From………………………......to…………………………………………

Interns’ full names:

No FULL NAME INTERNS’ ID CLASS GROUP

……………, ………………/………………, 2023

Hosting Institution

(Signature, Full name and Stamp)

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