12/20/22, 2:03 AM INTR

Application No : MPINTR/2022/003812
Samagra Id -197998307

Is the applicant a native of Madhya Pradesh?:

Yes

Are you available full time for 6 months for the internship starting January 2nd 2023?

Yes

Domicile District: Domicile Block: Applicant Name

Rewa - रीवा Rewa - विकास खंड - रीवा SHIVAM GUPTA

Fathes's Name Mother's Name Mobile Number

RAM SALONE USHA 9109842701

Date of Birth Age:(as On 15-01-2022) Gender

09-11-2000 21 MALE

Category Religion Are You Married ?

General Hindu No

Handicapped Details

Are You a Handicapped ?

No

Contact Details
Type of Area:Urban

Present Address

State District LocalBody

Madhya Pradesh - मध्‍यप्रदेश Rewa - रीवा Nagar Palik Nigam Rewa - नगर पालिका
निगम -रीवा

Ward Pin Code Address

Rewa (M Corp.) - Ward No.38 - Rewa (M 486001 PANDEN TOLA HAJARI CHOUK VARD
Corp.) - Ward No.38 NO. 38 REWA (M.P.)

Permanent Address (Same as Persent Address:Yes)

State District LocalBody

Madhya Pradesh - मध्‍यप्रदेश Rewa - रीवा Nagar Palik Nigam Rewa - नगर पालिका
निगम -रीवा

Ward Pin Code Address

Rewa (M Corp.) - Ward No.38 - Rewa (M 486001 PANDEN TOLA HAJARI CHOUK VARD
Corp.) - Ward No.38 NO. 38 REWA (M.P.)

Other Details

ID Proof ID Proof No. Do you have basic computer efficiency?

Driving Licence MP1720211000051 Yes

https://services.mp.gov.in/main/citizen/services/ui#intr/apply 1/2
12/20/22, 2:03 AM INTR

Do you Have a Smart Phone? Do you have your own vehicle? Are you a member of National Service
Scheme/ Nehru Yuva Kendra
Yes Yes Sangathan/ Jan Abhiyan Parishad?
No

Qualification Details

Passing Course Obtained

# Qualification Passes Exam Name Board/University Institute Roll No.
Year System Marks/Points/Grade

TRS
1 Graduation B.A. HISTORY (HONS) 2021 APS UNIVERSITY 18114103 Marks 4880
COLLEAGE

GOVT H.S.
ARTS POLITICAL SCIENCE ,HINDI , MP BOARD
2 HSC (12th) 2018 SHCOOL 283244451 Marks 356
ENGLISH,SOCIOLOGY, BHOPAL
NO .1

GOVT H.S.
10TH HINDI , MP OPEN BOARD
3 SSC (10th) 2016 SCHOOL 430216203635 Marks 274
ENGLISH,SANSKRIT,MATH,SCIENCE,SOCIAL BHOPAL
REWA MP

Experience Details
Organization Type of Designation Last Drawn Salary(Monthly) In Start Total Duration (In
# End Date
Name Service Name Rs. Date Year)

2 SHIVALAY HEGHT Private MANEJAR 13000 06/05/2022 20/12/2022 0.7

1 AIRTEL COMPANY Private TEAM LEADER 12000 11/03/2021 15/04/2022 1.1

Upload Relevant Documents

# Documents Uploaded

1 10th class Marksheet 󰄬

2 12th class Marksheet 󰄬

3 Graduation Marksheet 󰄬

4 Experience Certificate 󰄬

5 MP Domicile 󰄬

6 Signature 󰄬

7 Photo 󰄬

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