Pawan Hans | National Helicopter Carrier India

Name of
Exam
Passed

Name of
Board/Institute

/ University

Duration of
Course

Date of
Admission
(DD/MM/YY)

Date of Passing
(DD/MM/YY)

Aggregate Percentage
of Marks Obtained

Application for engagement of student pursuing engineering / MBA as an Intern in PHL various office locations

PLEASE FILL IN CAPITAL LETTERS

Name of Course Pursuing

Domain and Area of Internship Slot (Pls tick & mention stream)

Engineering

Management

Have you ever been engaged as intern before

Yes

Location preference in order of 1st, 2nd & 3rd

Delhi	Mumbai	Rajahmundry	Port Blair
Noida	Guwahati	Laskshadweep

Upload Photograph Here..

PERSONAL DETAILS

1. Name of the candidate:

2. Name of the Husband/Father:

3. Date of Birth :

4. Age as on:

5. Category :
Name of the Caste/Tribe:

6. State of Domiclle (State belonging to):

7. Do you belong to PWD Category (Please Specify):

8. In case PWD indicate the degree of Disability: %

9. Gender:

Male

Female

10. Complete Correspondence Address:

State District
Pin

11. Qualification (10th on wards, mention the exact date of passing):

12. Datails of Insititute/University where pursuing Higher Study :

Name & Address of the University/Institution	Recognized By	Duration of Course (dd/mm/yyyy)		Present Semester	Marks Obtained in various semester
Name & Address of the University/Institution	Recognized By	From	To		1st	2nd	3rd	4th	5th	6th	7th

13. Email id :

14. Phone No. : Mobile No

15. Aadhar No.

I HEREBY DECLARE THAT THE ABOVE INFORMATION IS TRUE TO THE BEST OF MY KNOWLEDGE. I UNDERSTAND AND THAT MY CANDIDATURE WILL BE CANCELLED, IF THE INFORMATION IS FOUND TO BE FALES OR INCORRECT OR MY APPLICATION IS INCOMPLETE

Place & Date:

Signature of the Candidate

10^thDocument of the Candidate

Aadhar of the Candidate