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Application Form for the Young Interns Programme

Please attach a recent passport size Photograph duly attested by the Head of the Institution

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Name Date of Birth Present Address Permanent Address ID Proof Contact: Landline: Mobile: e-mail ID

Sandeep Sayal 10/07/1989 B-602, Eden -1, Hiranandani Gardens, Powai, Mumbai 400076 B-602, Eden -1, Hiranandani Gardens, Powai, Mumbai 400076 Passport 02225701803 09819104010 Subjects Specially Offered CGPA/I or % Marks 89.4% Science MBATech MBA 84.4% 3.58/4.00

Details of Educational Qualification S. Examination Year Board/ University No. Passed 1. 2. 3. 4. X XII Graduation* PG* 2005 2007 2012 2014 CBSE CBSE NMIMS University IIM Indore, Mumbai

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Awaiting 1st term result * Present status of education (please mention CGPA/I i.e. Cumulative Grade Point Average/Index till the last examination/semester passed). Why do you want to work as intern with Government of Rajasthan under the Young Interns Programme? What do you hope to gain from working under this program? Details of published papers/projects (if any) Issue/Study selected for research (pl. attach a synopsis on the issue/study not Micro-financing / Self Help Groups exceeding 1000 words) Any additional information

I understand that this is only an internship programme and does not provide any type of employment or guarantee any employment with the State Government in future. Joining the internship programme is to fulfill the requirement of completing my Graduation/Post-Graduation course. Attachments : 1. ID Proof 2. Educational Qualification Certificates/Transcripts 3. Synopsis of proposed study


Signature of Applicant Recommendation by the Head of Institution

I, ------------------------------------------------, working as -------------------------------------------- at ---------------------------------------------------------- certify that the information as furnished in the application form by Sh./Ms. ---------------------------------, student of ------------------(semester/class) of this institute is correct as per records and no disciplinary action has been taken or is being taken against him/her. It is verified that internship programme is part of the course of study and necessary to complete his/her Graduation/Post-Graduation course. I wish him/her all the best in his future endeavours.

Date: Seal of the Institution:

Head of the Institution / Authorized Signatory Name and Seal