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International Internship Programme
Position applied for 
Second Choice (optional)
Third Choice (optional)
University applied from 
General Information
Title 
Full Name 
Father's Name 
Current Address 
Until When
Residence Tel  
Office Tel 
Mobile 
Email  
Permanent Address
If not same as above
Emergency Contact
Contact 1
Full Name 
Relationship 
Address 
Residence Tel   
Office Tel  
Mobile 
Contact 2
Full Name
Relationship
Address
Residence Tel  
Office Tel  
Mobile 
Personal Information
Date of Birth 
Place of Birth 
GenderMaleFemale 
Nationality 
Do you have any health problems that may restrict travel?YesNo 
Do you have any health problems that require medication?YesNo 
Upload CV  
(Only doc, pdf, rtf)
Reference 1
Full Name 
Designation 
Address 
Contact No.  
Email  
Reference 2
Full Name 
Designation 
Address 
Contact No.  
Email  
Reference 3
Full Name 
Designation 
Address 
Contact No.  
Email  
How did you find out about our programme?
Website, please specify
Referred by Professor/University
Former intern
Reputation
Other, please specify
Personal Statement
Give a candid description of yourself, stressing the personal characteristics you feel to be your assets and liabilities 
Describe what you believe to be your most substantial accomplishment to date, explaining why you view it as such 
Explain your career aspirations (or research interests) and why you have applied to this programme now 
What would you like to learn through your AKU internship 
Declaration checkI hereby declare that to my knowledge the foregoing information is true and complete. I understand that a false statement may disqualify me for internship or result in dismissal. I understand that if I am offered internship, such internship will be subject to the screening and authentication of my credentials.