NATIONAL MUSEUM INSTITUTE

OF HISTORY OF ART, CONSERVATION AND MUSEOLOGY

of Culture, Govt. of India)
(Deemed to be University under Ministry
Campus: A-19, Sector 62, NOIDA, Uttar Pradesh 201309
Institutional Area,
New Delhi - 110011
Registered office: First Floor,National Museum, Janpath.
2975623 Website: www.nmi.g n
Telephone: 0120-2975619, 2975625,

APPLICATION FOR THE POST OF MEDIA CONSULTANT

1. Name of Applicant SHUBHAM TRIPATHI

2. Date of birth 08- 12-1293
3. Father's Name KRISHNA KUMARIRIPATHI
4. Category GEN/SC/STIOBC/PWD

5. Address

(a) Correspondence/Mailing L 430 POCKET-L SARITA VIHAR,

(b) Permanent
6. Mobile/telephone number
7. Email Address
8. Educational qualification
NEN PELHI 10016
44/13 9ARAI MALL KANCHONK,
WOKNOM) VTTAR fRADESH 22600
13528150_133116605t
shubham.bripathi 1134mail.com
(Please attàch proof)

Qualification Subject/Stream/Course | Board/University Percentage/Grade/CGPA Year ol passing

10th LCSE Sctence IcS 2008
12th 3 332 2010
Graduation achelo dSaynalam GGSIFU_ 20t
Master
Others
RGDiploypa 52:362 2016
Enaiaunis VdualU
munaml

9. Work Experience in Relevant Field (please attach curriculum vitae & experience certificates):

Other Relevant Expericnce, if any: 252-2015 to 21-2-20- ADA RUSH-Rgeal Maueou Ex

15-03-2019 to 3-10-*\ PiB ndea Soesal Ma
Any otherinformation
o-1-2021-o o1-02-2022-MeinieryelMeinerey aurs Manaa
Medanand Rauc c a
08-02-2082 o 3 01-2022 Vhi- Lead Copndeinapre ( Media)
 UNDERTAKING

"I hercby undertake to inform that the above information is true and correct as per my best

knowledge. I understand that if any information submitted by me is found to be false, my candidature

for the post may be rejected by the National Museum Institute"

Place:EN.DELHr nhuhrbpat
Date: .12 2022. Signature..