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STS 2023
REPORT ATTESTATION FORM (RAF)
(To be filled by the Student) Paste recent
1. Name of the student : _______________________________ coloured 2. STS Reference ID : _______________________________ passport size 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-2023 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 late 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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