Techinta Internship Enrollment Form

Personal Information

Full Name * ⚠️ Full Name is required.

Date of Birth * ⚠️ Valid Date of Birth is required.

Gender *

Male

Female

Other

⚠️ Please select your gender.

Mobile Number * ⚠️ Valid Mobile Number is required.

Email Address * ⚠️ Valid Email Address is required.

Address * ⚠️ Address is required.

Academic Information

College Name * ⚠️ College Name is required.

Degree / Course * ⚠️ Degree / Course is required.

Department * ⚠️ Department is required.

Current Year *

1st Year

2nd Year

3rd Year

4th Year

⚠️ Current Year is required.

College Roll Number

Internship Details

Internship Mode *

Online

Offline

⚠️ Select an internship mode.

Internship Duration *

15 Days

30 Days

45 Days

⚠️ Select a duration.

Selected Course * ⚠️ Selected Course is required.

Start Date * ⚠️ Select a valid Start Date.

End Date * ⚠️ Select a valid End Date.

Payment Details

Payment Mode *

Cash

UPI

Amount Paid (₹) * ⚠️ Amount Paid is required.

Received By (To whom was it given?) * ⚠️ Received By name is required. If not known, enter '-'.

I hereby declare that the information provided above is true and correct to the best of my knowledge. I agree to follow the rules and regulations of Techinta during the internship period. * ⚠️ You must agree to the declaration.

I agree to receive internship-related updates and communication from Techinta through phone, email, or WhatsApp. * ⚠️ You must agree to receive updates.

Application Submitted!

Thank you for registering for the Techinta Internship Program. Your application has been submitted successfully. Our team will review your details and contact you shortly regarding enrollment confirmation and internship schedule.