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MEMTECHMSc ISRO Project Application Form

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MEMTECHMSc ISRO Project Application Form

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© © All Rights Reserved
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HUMAN RESOURCE DEVELOPMENT DIVISION

VIKRAM SARABHAI SPACE CENTRE


THIRUVANANTHAPURAM

Application Form for M E/M Tech, M Sc & Integrated M Sc/BS-MS


Final Year Academic Project Work
(To be filled by the Student)
Project Work Block Period (Please Tick) : 01 Jan – 30 Apr 01 May – 31 Aug 01 Sep – 31 Dec

01. Name of the Student :


Affix
02. Name of Parent/Spouse :
Photograph
03. Address with Pin code : attested by
Principal/HOD
04. Phone Number & e-mail id :
05. Name of the College/Institution :
06. Address of College/Institution with Pin code :

07. Name of the Present Course of Study :


08. Discipline/Branch :
09. Duration of Course of Study : …………………Semesters/Years
10. College/Institution Permits to do Project Work in : …………………Semesters/Years
11. Current Semester/Year : …………………
12. Date of Commencement of Project Work : Date ……………. Month ……………. Year…………….
13. Date of Completion of Project Work : Date ……………. Month ……………. Year…………….
14. Project Duration in Months : ……………………
15. Relevant informations, if any, to be noted :

16. Signature of Student :


_______________________________________________________________________________________________________________________________________
( To be filled by Head of the Dept./Principal of the College )
17. Is the project training requested by the above student
the main project of curriculum : YES / NO
18. Will student be permitted to undergo project work
on regular basis during the period applied : YES / NO
19. Conduct and Character of the Student :
20. Details of Academic Performance (for ME/M Tech & M Sc student) :
Aggregate mark
Name of the Qualifying Degree (minimum :60%
Nameor CGPA 6.32 on a scale of
10 for graduation)

21. Details of Academic Performance (for Integrated M Sc/BS-MS student) :


Aggregate mark
Name of present (minimum 60% or
S1 S2 S3 S4 S5 S6 S7 S8 S9 S10
course CGPA 6.32 on a scale of 10
upto previous semester)

Signature of the Principal/HOD:


Name:
Phone No. (Tel/Mobile): E-mail id:
Date: (College Seal)

>>2
NOTE:
1. The application form and declaration by student & HOD/Principal of the College/Institution should be filled in
all respects, failing which, the application will be rejected.
2. The completed application form should be received in HRDD/VSSC at least 45 days before the block period,
failing which, the application will be rejected.
3. If selected for project work in VSSC:
a) The college ID and one Valid photo ID proof (Passport/Voters ID/Driving Licence/Aadhar) of the applicant
along with one copy must be produced for verification and documentation at the time of joining.
b) The project work should be completed within the stipulated period.
c) The student should strictly follow all Rules & Guidelines and Security norms of VSSC/ISRO while in the
campus. Any deviation from this will be treated seriously and the project work will be terminated
immediately without any further notice.
d) The project work guide in VSSC will be the Reporting Officer for the student during the period of project
work.

DECLARATION

I,………………………………………………………………………..….……hereby declare that I am an Indian Citizen and a


student of ME/M Tech/M Sc/Integrated M Sc/BS-MS (strike out whichever is not applicable)
……………..………………………………..……(Branch) from………………………………………………………………………. (College)
…………..……………………………………………….(University). If selected for Main Project Work (which is part of
the Curriculum and will be evaluated in University exam), I agree to abide by all conditions stipulated
by VSSC/ISRO. I declare that I will not present/publish/submit any part or full portion of the project report,
data or any other details of the work carried out by me in VSSC/ISRO in any conference/seminar/
workshop/journal/book etc. either in print or in electronic media, other than project work report
presentation in College/University, without the prior permission of VSSC Guide and approval from
concerned Entity/Project Chief. In case of publication of project work, the VSSC guide(s) will be cited as the
co-author(s) of the paper.

Date Signature of Student

We certify and we stand responsible for the above mentioned terms regarding the Main Project
Work in VSSC, undertaken by Mr./Ms.……………………………………………………………………………………………ME/
M Tech/M Sc/Integrated M Sc/BS-MS (strike out whichever is not applicable) student
in……………………………………………..........………….(Branch) from our college.

Signature of Guide from College Signature of Principal/HOD


with office seal

Place:
Date :

To be sent by post: Head, HRDD


VSSC, ISRO P.O
Thiruvananthapuram – 695 022

Or scanned copy of application may be mailed to: [email protected]

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