BIRLA INSTITUTE OF TECHNOLOGY & SCIENCE, PILANI

Academic-Undergraduate Studies Division

Form- A
(Application for Off-campus Thesis; to be submitted to concerned HoD)

A. Name of organization:

B. Is there research collaboration with this organization: YES / NO

C. Name of proposed Supervisor:

D. Full address with Email & Phone No.:

E. Name of the proposed Co-supervisor (BITS Pilani faculty):

F. Broad area/title of the dissertation (brief):

G. Summary of work to be carried out with expected deliverables:

ID NO: Name: Signature

===============================================================
Recommendation of Co-supervisor with comments indicating the need of off-campus
Thesis

Name & Signature of Co-supervisor

===============================================================
Permitted to apply

(HOD) (Associate Dean, PS)

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 BIRLA INSTITUTE OF TECHNOLOGY & SCIENCE, PILANI
Academic-Undergraduate Studies Division
Form- B
(To be signed by proposed Supervisor and to be submitted to concerned HOD)
I hereby agree to guide Mr./Ms. ........................................... ID No.
................................... on the topic
...................................................................................................................................
.......................................................................................................................................
............

I have obtained necessary permissions from my organization for guiding student

form BITS Pilani and will follow the guideline regarding evaluation components and
grade submission. Prof./ Dr. ............................................................. from Department
of …………………………….., BITS Pilani, _______________ Campus will be Co-
supervisor for the above candidate.

(Signature of proposed supervisor) Date:

...............................
Name of proposed supervisor:
Email address:
Phone No.
Postal Address:

(Signature of on-campus Co-supervisor)

Name:

For official use

Signature of HoD Signature of Associate Dean, AUGSD

 FORM-C
BIRLA INSTITUTE OF TECHNOLOGY AND SCIENCE, PILANI
HYDERABAD CAMPUS
ACADEMIC - UNDERGRADUATE STUDIES DIVISION
FIRST/SECOND SEMESTER (20 - 20 )
Pre-Registration Form for First Degree Thesis (Abroad)
Date:
Name of the Student ________________________________________________________ ID
No. _______________________________Discipline_________________________________
Course No.: ___________________ No. of units intending to register for (9 to 16):
____________

Broad area (brief):

_______________________________________________________________________________
_______________________________________________________________________________
E-mail ID: _______________________________________
Phone Number: ________________________________
Contact details of the Supervisor (Organization in Abroad):
Name & Address of Organization: ___________________________________________________

_________________________________________________________________________________

Name of Supervisor______________________________________________________________
E-mail ID: ______________________________________________________________________
Office Phone Number: ___________________________
Name of Co-Supervisor (A BITS Pilani Faculty) : ________________________________________
Signature of the Student Signature of the Supervisor Signature of the Co-
supervisor
Recommendation of HoD:
Signature of HoD
________________________________________________________________________________
Forwarded

Signature of Associate Dean,

IPCD
 FORM - D
BIRLA INSTITUTE OF TECHNOLOGY AND SCIENCE, PILANI
HYDERABAD CAMPUS
ACADEMIC - UNDERGRADUATE STUDIES DIVISION
FIRST/SECOND SEMESTER (20 - 20 )
Pre-Registration Form for First Degree Thesis
Date:

Name of the
Student___________________________________________________________ ID
No.__________________________________________________________________
_____ Discipline_________________________________ Course No.:
___________________ No. of units intending to register for (9 to 16):
__________________

Broad area (brief):

_________________________________________________________________________
______
_________________________________________________________________________
______
E-mail ID: _______________________________________
Phone Number: ________________________________
Name of
Supervisor______________________________________________________________
Name of Co-Supervisor
_____________________________________________________

Signature of the Student Signature of the Supervisor Signature of the Co-

supervisor

---------------------------------------------------------------------------------------------------------------------------
Recommendation of HoD:

Signature of
HoD

Name:
 ANNEXURE-1
Suggested format of initial communication with proposed off campus supervisor by
the student

Dear ____________________________

I, Mr./Ms. ________________ of BITS Pilani, Hyderabad Campus, India, am requesting

permission to do a First Degree Thesis (1st/2nd semester) in your organization. The thesis,
which is a requisite for the degree of the institute in various disciplines, is envisaged as training
for future research in specific disciplines and areas. Since this is offered as a registered course
there are various evaluation components and time lines to be met. I would be obliged if I could
have your response to the following points mentioned in order for. I would be obliged if I could
have your response to the following points mentioned in order to enable me to initiate the
process

1) What are the eligibility criteria for selecting student for thesis work?

2) Number of positions available for thesis work?

3) How much stipend will be given to the student?

4) What sort of assistance is available for accommodation of students?

5) Is the proposal one time offer or is it going to continue in future also?

6) Will you agree for having a co-supervisor from BITS-Pilani?

I am enclosing the First Degree Thesis handout along with this mail. Kindly go through it and
let me know whether you would fulfill all the necessary academic formalities like sending
grades etc. as per the requirement of BITS-Pilani. Please feel free to contact me for any further
clarifications.

Sincerely,
 ANNEXURE-2

Suggested format for communication with off-campus supervisor for procedural

modalities

Dear ____________________________

As per your acceptance of Mr./Ms. ________________, student of BITS-Pilani, Hyderabad

Campus, India to do a First Degree Thesis (1st/2nd semester) in your organization, kindly note
the following:

a. ________________, from the department of _________________ has been

assigned as co-supervisor for this course.
b. Kindly communicate with us the date on which our student joins your organization
c. If the student registers off-campus, kindly sign on his/her registration card
d. Conducting evaluation of the students (as per the handout) is the collective
responsibility of the off-campus supervisor and the departmental co-supervisor along
with an external examiner.
e. Kindly follow the deadlines mentioned in the handout to communicate the grades to
us.

Sincerely,
 ANNEXURE-3

No Objection Certificate from the Department to the Organization

To whomsoever it may concern

This is to certify that Mr./Ms. _______________ bearing ID No._____________ is a student

of BITS Pilani, Hyderabad Campus and is permitted to carry out her/ his First Degree Thesis

at _______________________(Place of work) under the guidance of ____________

(Name of the Supervisor at the place of work) during __________ (Start Month) till

___________ (End Month).

Date:
Signature of HoD
Name:
Department