Form A — Intern Information & Document Submission | Miraki23
Form A · MRK23-HR-F001

Intern Information &
Document Submission

Complete all sections and return to hr@miraki23.com at least 5 working days before your start date. Fields marked * are mandatory.

5 Sections
~10 Minutes
Submits to info@miraki23.com
Personal
Academic
Internship
Documents
Declaration
Please fill in all required fields before continuing.
Section 01
Personal Details
As per government-issued ID
⚠ Full name is required
DD/MM/YYYY
⚠ Date of birth is required
What you go by / nickname (optional)
Optional — for internal records only
Current address including street, city, state, pin code
⚠ Residential address is required
For pre-joining communication
⚠ Mobile number is required
⚠ Valid email address is required
⚠ Emergency contact name is required
⚠ Emergency contact number is required
⚠ Relationship is required
Section 02
Academic Details
⚠ Institution name is required
⚠ Degree / programme is required
⚠ Year of study is required
⚠ Branch / specialisation is required
Full address of your college/university
If NOC or academic credit is required
⚠ Please select an option
Section 03
Internship Details
As per offer letter
⚠ Start date is required
As per offer letter
⚠ End date is required
⚠ Please select a work arrangement
As per offer letter
⚠ Practice area is required
As per offer letter
⚠ Reporting manager is required
2–4 sentences: what you hope to contribute and learn during this internship
⚠ Please provide your motivation statement
For team directory and networking (recommended)
Section 04
Identity & Supporting Documents
Please tick each document you are attaching and upload all files together below. Accepted formats: PDF, JPG, PNG (max 10 MB per file).
Document Required
Government Photo ID (Aadhaar Card / Passport / Driving Licence — front & back) Mandatory
PAN Card (for stipend tax processing — Indian interns) Mandatory (India)
Current Enrolment Certificate or Student ID (from institution) Mandatory
Most Recent Marksheet or Transcript Mandatory
Academic NOC / Permission Letter (from institution, if credit-bearing) If Applicable
Passport-sized Photograph (digital, white background) Mandatory
Signed Internship Agreement (copy for your records) Mandatory
Signed Non-Disclosure / Confidentiality Agreement Mandatory
CV / Resume (latest version) Recommended
📎
Drag & drop files here or browse to upload
PDF, JPG, PNG · Max 10 MB per file
Section 05
Declaration & Submission

I declare that the information provided in this form is accurate and complete to the best of my knowledge. I understand that any false or misleading information may result in the withdrawal of the internship offer or immediate termination of the internship.

I confirm that I have read, understood, and agree to abide by Miraki23's Code of Conduct, Confidentiality Agreement, and all applicable policies provided in the Welcome Pack.

I consent to Miraki23 collecting and processing my personal data for the purposes of onboarding and employment administration, in accordance with applicable data protection legislation.

⚠ You must accept the declaration to submit
⚠ Signature name is required
⚠ Date is required
Submission Summary

Form Submitted

Your information and documents have been submitted to the Miraki23 HR team at info@miraki23.com. You will receive a confirmation email within 1–2 working days.

REF: MRK23-INTERN-2026-XXXX

Please save this reference number for your records.