Proforma of Application for Internship in NITI Aayog

Registration No. : NITI122022352989

Name : Mr. Shubham Kumar

Father's Name : Pawan Kumar

Address for correspondence : Mens watch I, South campus, University of Hyderaba Gachibowli
City : Hyderabad Country : India Pin Code : 500046
Phone(with Std
Contact Number:
code):
Mobile (+91): 7783865467 8789981150
E-mail: shubhamkumar21901@gmail.com
Date of Birth: 21 Sep 2001 Age: 21 Years 2 Months 18 Days

Educational Qualification (Starting from 12th onward)

Year of Percentage/
Sl. Name of Board/ Examination Year of Joining Pursuing/
Discipline Completion Grade/CGPA
No. University/Institute Passed (month/year)M Completed
(month/year) Pts
Senior
1 CBSE Science Apr- 2019 Jun- 2020 76 Completed
Secondary
University of Social Pursuing(Sem -
2 B.A Oct- 2001 Dec- 2026 80
Hyderabad sciences 4)

Desired Month for

Internship(2021-22) Feb 2023

Area of interest
Governance

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(i) I undertake to submit NOC from my institute for joining NITI Aayog Internship Programme and other documents in support of my application
as and when asked by NITI Aayog. (ii) I also declare that the information given by me is true, correct and best of my knowledge and nothing has been
concealed.

Date : 09 Dec 2022

......................................
Signature : Shubham
Place of submission : Hyderabad
Kumar