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Application Form For Project Work in Raja Ramanna Centre For Advanced Technology, Indore (To Be Filled by The Student) Attested Passport

The document is an application form for students seeking project work at the Raja Ramanna Centre for Advanced Technology in Indore. It requests information such as the applicant's name, nationality, educational details including degree pursued, year of study, proposed duration and field of interest for the project. It also asks for contact information and a check list of documents to be enclosed including a bonafide certificate, academic transcripts and mark sheets.

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mizz_chettonk
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36 views0 pages

Application Form For Project Work in Raja Ramanna Centre For Advanced Technology, Indore (To Be Filled by The Student) Attested Passport

The document is an application form for students seeking project work at the Raja Ramanna Centre for Advanced Technology in Indore. It requests information such as the applicant's name, nationality, educational details including degree pursued, year of study, proposed duration and field of interest for the project. It also asks for contact information and a check list of documents to be enclosed including a bonafide certificate, academic transcripts and mark sheets.

Uploaded by

mizz_chettonk
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Application Form for Project work in

Raja Ramanna Centre for Advanced Technology, Indore


(To be filled by the student)
Affix recent Self
Attested passport
1. Full Name: ________________________________________
size photograph.
(Block letters)
2. Nationality: __________________________________________
3 Place of birth: ________________________________________
4. Fathers Name: ______________________________________
5. Name of the Present Institution: __________________________________
____________________________________
6. Degree Pursuing & Discipline: ________________________________________
7. Year & semester: ____________ year ______________ semester
(At the time of application)
8. Duration of project with dates: _______Months, from ___________ to__________
9. Field of interest for project: ___________________________________________
10. Residence Address: _________________________________________________
_________________________________________________
_________________________________________________
11. Telephone or Mobile No: ____________________________________________
12. Email ID: __________________________________________________________
13. Hostel Accommodation during Project Work (Strike out whichever is not valid):
i) Can join only if hostel accommodation is provided:
ii) Hostel Not Required (Own arrangement):
Check List:
1) Certificate of Bonafide Student in the prescribed format with photo graph attested by
Principal/ Head of the Institute is enclosed
2) Percentage of marks obtained in previous years or semester and year, in a tabular form on
a separate sheet, starting from 10 +2, attested by HOD/ Placement Officer is enclosed.
3) Self attested copy of mark sheet of only latest completed year/ semester is enclosed.

(Signature of the Student)

Signature of Head of Dept. / Placement Officer


with Stamp/ Seal
Name of the Student _____________________________________________

Grade

SubjectsStudied

CGPA
etc.(If

Marks
Percentage

applicable)

(Convertincase
CGPAetcis
allotted)

Year

M.Tech/M.Phil

BasicDiscipline
atGraduate
level

Science/Engineering:

B.Tech/MSc.

B.Sc

10+2

(SignatureofStudent)

PercentageofmarksfiledbymystudentMr/Ms_________________________________isverified

(SignatureofHOD/ Placement Officer)

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