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All the fields labled with (*) are mandatory.

Contact information

Name*:

Sex* :
Male Female

Present Address*:

Permanent Address:

Phone/Mobile*:

Email*:


How did you come to know about us? (Please specify the name & contact information if applicable)

Contact Info:

Desired period of association (please specify expected start and finish date, if available)

Start Date:

End Date:


Skills/Experience information Language Skills

Kannada (Spoken)*
None Basic Functional Fluent

Kannada (Written)*
None Basic Functional Fluent

Hindi (Spoken)*
None Basic Functional Fluent

Hindi (Written)*
None Basic Functional Fluent

English (Spoken)*
None Basic Functional Fluent

English (Written)*
None Basic Functional Fluent

Other Languages (Please specify - Language/fluency)

Computer Skills

Office Tools (MS Office - Word/Excel/PowerPoint or OpenOffice Tools)
None Basic Functional Fluent

Please specify the tools you are most comfortable with, if applicable (e.g. Word/Excel/PowerPoint)

Design Tools (Adobe Photoshop/Corel Draw/Dreamweaver/Flash etc)
None Basic Functional Fluent

Please specify the tools you are most comfortable with, if applicable (e.g. PS/DreamWeaver/CorelDraw, etc)

Website Design/Maintenance
None Basic Functional Fluent

Please specify the tools/lang/platform you are most comfortable with, if applicable (e.g. Dreamweaver/HTML/ASP, etc)

Any other Skills/Tools/Technologies (Please specify - Tool : fluency)


Educational Qualifications

Degree/Qualification

University/Board

Year

Work Experience (If any)

Please provide a summary of any previous work experience (With NGOs or otherwise)

Areas of interest

Area(s) of Interest

Specify area of interest

Academic qualification

Prior experience

Health

Women & Child Development

Education

Livelihoods

Program Audit

Trainings

Website/IT

Documentation/
reporting

Marketing/
Fundraising

Other (please specify)

Please tell us about any other skills/interests that you think might be useful for Parinaam:

Please write a short paragraph on why you would like to intern with Parinaam: