9/9/2019 DIV Contents

Proforma of Application for Internship in NITI Aayog

Registration No. : NITI9201971955

Name : Mr. AMARTYA PAUL
Father's Name : Hari Prasad Paul
Address for correspondence : BANKRA MISHRA PARA, PO BANKRA ,PS DOMJUR ,PIN 7114
City : HOWRAH Country : India Pin Code : 711403
Phone(with Std code):
Contact Number:

Mobile (+91): 9007735937 8296376662

E-mail: amartyapaul06@gmail.com
Date of Birth: 04 Jan 2000 Age: 19 Years 8 Months 5 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
MATHEMATICS,
ENGLISH ,
PHYSICS,CHEMISTRY
1 CBSE Senior Secondary Apr- 2015 May- 2017 87 Completed
, COMPUTER
SCIENCE , PHYSICAL
EDUCATION
Metallurgy and material Pursuing(Sem - 5
2 NIT Durgapur B.Tech/BE Jun- 2017 Jun- 2021 8.25
engineering )

Desired Month for Internship(2018-19)

Dec 2019

Area of interest Natural Resources,

Enviroment & Forests

Upload Resume (PDF File Less Then 5MB) Choose File No file chosen

(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 Sep 2019

....................................
Signature : AMARTY
Place of submission : Durgapur
PAUL

1/1