Name *

Phone Number *

WhatsApp Number *

Email *

Age * Select your age... 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45

Home State * Select Home State

Current State* Select Current State

Education Qualification * Select your qualification Below 10th Standard 10th Standard 12th Standard Graduation Post Graduation

Marks obtained (%) in 10th standard *

Marks obtained (%) in 12th standard *

Medium of instruction * Select Medium Bengali Hindi English

College / University *

Level of Fluency in Bengali (Verbal & Written) * Select Option Can't read,write or speak Can speak but cannot read and write Can speak and read but can't write Can speak, read and write

Do you currently reside in Kolkata?*

Pin Code of location in kolkata? *

If selected, when can you join this Internship Program? * Select Internship Program Second week of August Third week of August Fourth week of August

Do you own or have access to the following? * Select Option Laptop Smartphone Both

Do you have a strong and stable internet connection?*

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