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Report Attestation Form

This document is a report attestation form for students participating in the STS 2020 program. It contains sections for the student and guide to fill out providing details of the student's name, research ID, dates of the 2 month research period, the research methodology used, the student's impressions of the program and what they gained, and the guide's remarks on the student's work and aptitude. It also includes an undertaking signed by both the student and guide stating they abided by all program instructions, obtained necessary approvals, and understand the terms regarding use and acknowledgement of the research if published or presented.

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Ayushman Ujjawal
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83 views

Report Attestation Form

This document is a report attestation form for students participating in the STS 2020 program. It contains sections for the student and guide to fill out providing details of the student's name, research ID, dates of the 2 month research period, the research methodology used, the student's impressions of the program and what they gained, and the guide's remarks on the student's work and aptitude. It also includes an undertaking signed by both the student and guide stating they abided by all program instructions, obtained necessary approvals, and understand the terms regarding use and acknowledgement of the research if published or presented.

Uploaded by

Ayushman Ujjawal
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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STS 2020

REPORT ATTESTATION FORM (RAF)

(To be filled by the Student) Paste recent


1. Name of the student : _______________________________ coloured
passport size
2. STS Reference ID : _______________________________
photograph
3. Period of two months research done
(Date-DD/MM/YYYY) : From _____________Till_____________

4. Special research technique and : _________________________________________________


Methodology, if any, learnt
_________________________________________________

_________________________________________________

5. Personal impressions of the student : _________________________________________________


about the STS program and what has
the student gained from it _________________________________________________

_________________________________________________

(To be filled by the Guide)


6. General Remarks of the Guide on : _________________________________________________
Student’s work & aptitude for research
_________________________________________________

_________________________________________________

UNDERTAKING

1. We, __________________________________________________________ (Name of Student) student of (tick


appropriate) MBBS/BDS I/II/III/IV year & Dr. ___________________________________________ (Name of Guide)
declare that we have abided by the Instructions and Terms & Conditions for STS given on ICMR website.
2. We had obtained necessary approvals from IEC/IAEC & Informed consent from participants (not applicable for animal
studies).
3. We confirm that the data is our own and has not been plagiarized from any other source.
4. We have read all the Terms and Conditions for the STS-2020 report submission and we agree to all of them.
5. We are aware that ICMR reserves the right to reject the report/not release stipend/e-certificate without assigning
any reason, if the report is not prepared/submitted as per given instructions/incomplete/ incorrect/ not as per
objectives/ not as per ICMR format/ submitted later than 10th September, 2021/ or any other technical
errors/reason deemed suited by ICMR, if not submitted completely within the given deadline.
6. The information/research findings in report are true to best of our knowledge. We shall respect decision of ICMR.
7. We understand that scientific/personal details of other students/ guides/ copies of projects/titles/reviewers/ decision of
reviewers/ minutes of meeting/ marks /scores etc. are confidential.
8. For presentation/publication of the scientific findings (oral/poster/abstract/paper) in any conference/ seminar/ meetings/
journals, due acknowledgement would be given to ICMR.
9. We understand that the e-certificate and stipend may be issued to the student only after approval of the report.

Signature of the Student ________________________ Signature of the Guide ____________________


(With Date) (With Date)
Name of the Student ___________________________ Name and Designation ____________________
(With Seal)

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