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Internee registration form

Academics

Fill in the form online, or download the printable PDF. Documents: NIC photocopy, referral letter and two passport-size photographs.

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Internee details

Name Home address N.I.C. No. Contact No. (residence / cell) Organization / university Designation (if employed)Topic of research Department / lab Period of stay at NINVAST: from Period of stay at NINVAST: to E-mail

Documents

NIC photocopy Referral letter from organization / university Two passport-size photographs Select both photographs together (JPG or PNG).

Undertaking

I will carry out my research work for a specific period of time. At the end of my stay at NINVAST, I undertake to return the items issued in my name. In case of loss or damage of NINVAST property, I will be responsible to make good the damage or loss.

Name of internee Date

I accept the undertaking above and confirm the information given is correct.