Mitra Jyothi
To Inspire and Enable the Visually Impaired
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Group Internship Registration
Group Registartion for
Internship
Representative Name
*
Group Count
Representative Email
*
Representative Phone
*
Representative Address 1
*
Representative Address 2
City
*
State
*
Pincode
*
Group Members
Name
*
Internship hours per day
*
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3
4
5
6
7
8
(Note: Internship hours should be same for all group members)
From Date
*
Day
Day
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Month
Month
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Year
Year
2023
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To Date
*
Day
Day
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Month
Month
Jan
Feb
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May
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Jul
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Oct
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Year
Year
2023
2024
2025
Languages Known
Language
*
Status
*
Read
Write
Both
Math question
*
1 + 0 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.