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Application Form Nip

This document is an application form for the 2010-2011 National Internship Program. It requests personal details such as name, date of birth, education history including degree earned, university information, and contact details. Placement preference is also requested, listing three district preferences for internship placement. The applicant signs declaring the information is accurate and meets eligibility criteria for the program.

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syed kashif pervez
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2K views1 page

Application Form Nip

This document is an application form for the 2010-2011 National Internship Program. It requests personal details such as name, date of birth, education history including degree earned, university information, and contact details. Placement preference is also requested, listing three district preferences for internship placement. The applicant signs declaring the information is accurate and meets eligibility criteria for the program.

Uploaded by

syed kashif pervez
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
Download as pdf or txt
Download as pdf or txt
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NATIONAL INTERNSHIP PROGRAM

2010-2011

Personal details

Name_________________________________________________________________________
Date of Birth: Day _________________ Month _______________Year____________________
Father's Name__________________________________________________________________
Gender: Male/Female (please tick the relevant)
CNIC Number

Education

Title of final degree ________________ Subject ___________ Year of Passing_____________


Grade/Division ____________________ Marks obtained/ (%age/CGPA)___________________
Roll No.______________ University Registration/Enrollment No. ________________________
Name of University/Degree Awarding Institute________________________________________
______________________________________________________________________________

Placement details

Domicile: District ______________________________ Province _____________________


List names of three Districts in order of your preference for placement under the National
Internship Program. This listing indicates your preference/ convenience. However, the
government can place you anywhere for the National Internship Program according to
availability of places for internship.

First (District)____________ Second (District) ____________ Third (District) _____________

Contact details

Phone No.(Res):_________________________ Cell No. _______________________________


Fax No._____________________________ E-mail ____________________________________
Permanent Address: _____________________________________________________________
____________________________________________________________
Mailing Address: _______________________________________________________________
_______________________________________________________________

Did you apply for NIP previously? Yes No


If yes, please, mention your Reference No. __________________________________________
Have you already availed internship under the NIP Yes No

Declaration: By signing below you will be certifying that statements you have made in this
application are correct to the best of your knowledge and belief; and that you agree that you meet
the eligibility criteria for the internship programme. Submission of incorrect information may
lead to strict legal action and debarring you from future internship under NIP.

Date: ______________________________ Signature of the Applicant

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