HE-MAA Trust

Important Note: College/University Consent Letter or Recommendation Letter is mandatory.

Registration Fee: ₹1499/- Per Student

Personal Details

Student Name *

Father / Guardian Name *

Date of Birth

Gender

Mobile Number *

Email ID

Aadhar Number

Permanent Address

Academic Details

College Name

University Name

Course / Stream

Semester

Roll / Registration No

Internship Details

Internship Theme

Internship Duration

Preferred Duration

Student Photograph *

Passport Size Photo Upload

Upload Documents

Aadhar Copy * (Max 4 MB) College ID Card (Max 4 MB) Consent Letter * (Max 4 MB) Fee Receipt * (Max 4 MB)

Payment Details

Payment Mode Transaction ID * Payment Date

Branch: BARAHBATTA BRANCH, SAMASTIPUR-848127

Account No: 677301010050229

IFS Code: UBIN0567736

Declaration

I hereby declare that all information provided by me is true and correct.