Proforma of Application for Internship in NITI Aayog

Registration No. : NITI3202416102002593828199

Name : Mr. AKASH PREMSHANKAR SHRIVASTAV

PREMSHANKAR
Father's Name :
SHRIVASTAV
D 59/235 J-4M, LANE NO.6, NIRALA NAGAR, SHIVPURWA, Behind Kashi Balika
Address for correspondence :
Shiksha Niketan
City : Varanasi Country : India Pin Code : 221010
Phone(with Std
Contact Number:
code):
Mobile (+91): 6386652398 9404727767

E-mail: akashpsri02@gmail.com
Date of Birth: 16 Oct 2002 Age: 21 Years 5 Months 2 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 PCM Apr- 2020 Jul- 2021 75 Completed
Secondary
Computer Pursuing(Sem -
2 MGKVP, Varanasi BCA Sep- 2021 Sep- 2024 0
Application 6)

Desired Month for

Internship(2021-22) Jun 2024

Area of interest
Science and Technology

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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 : 18 Mar 2024

......................................
Signature : AKASH
Place of submission : Varanasi PREMSHANKAR
SHRIVASTAV