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Prescribed Form

This document is an application form for project work at the Raja Ramanna Centre for Advanced Technology in Indore. It requests information such as the applicant's name, father's name, current institution, degree program, contact details, proposed project duration, field of interest, and accommodation needs. It includes a checklist confirming that documents like bonafide certificates, academic transcripts, and mark sheets are attached. The form is to be signed by the student and head of department/placement officer.

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Chandra Shekhar Gohiya
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36 views2 pages

Prescribed Form

This document is an application form for project work at the Raja Ramanna Centre for Advanced Technology in Indore. It requests information such as the applicant's name, father's name, current institution, degree program, contact details, proposed project duration, field of interest, and accommodation needs. It includes a checklist confirming that documents like bonafide certificates, academic transcripts, and mark sheets are attached. The form is to be signed by the student and head of department/placement officer.

Uploaded by

Chandra Shekhar Gohiya
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
size photograph. 
1. Full Name: ________________________________________
(Block letters)

2. Father’s Name: ______________________________________

3. Name of the Present Institution: __________________________________


____________________________________

4. Degree Pursuing & Discipline: ________________________________________

5. Year & semester: ____________ year ______________ semester


(At the time of application)
6. Duration of project with dates: _______Months, from ___________ to__________

7. Field of interest for project: ___________________________________________

8. Residence Address: _________________________________________________


_________________________________________________
_________________________________________________
9. Telephone or Mobile No: ____________________________________________

9. Email ID: __________________________________________________________

10. 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  Subjects Studied  CGPA  Marks 


etc. (If  Percentage(1)  
applicable) (Convert in case 
CGPA etc is 
allotted)  Year 
M.Tech/ M.Phil         
Basic Discipline  Science / Engineering:       
at Graduate 
level 
         
B.Tech/ MSc.         
         
         
         
B.Sc         
10 + 2         
 
 
 
 
 
(Signature of Student) 
 
Percentage of marks filed by my student Mr/ Ms _________________________________ is verified  
 
 
 
 
 
(Signature of HOD/ Placement Officer) 

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