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Proforma of Application for Internship in NITI Aayog

Registration No. : NITI10202429920033761058869


Name : Mr. HARSH RAJ
SANJAY KUMAR
Father's Name :
CHOURASIA
Address for correspondence : PACHGACHIA BAZAR PS GOPALPUR VIA NAUGACHIA
City : BHAGALPUR Country : India Pin Code : 853207
Phone(with Std code):
Contact Number:

Mobile (+91): 7667439018


E-mail: [email protected]

Date of Birth: 29 Sep 2003 Age: 21 Years 0 Months 7 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
DIPLOMA IN
1 SBTE BIHAR Senior Secondary ELECTRICAL Aug- 2018 Nov- 2021 85 Completed
ENGINEERING
ELECTRICAL
AND
2 BEU PATNA B.Tech/BE Sep- 2022 Jun- 2025 86 Pursuing(Sem - 5 )
ELECTRONICS
ENGINEERING

Desired Month for Internship


Dec 2024

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 : 06 Oct 2024


.....................................
Signature : HARSH
Place of submission : DARBHANGA
RAJ

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