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Project Application Form

The 3 sentence summary is: This document is an application for admission of college/university students for dissertation/project work at CSIR-CECRI. It requests information such as the student's name, date of birth, college details, academic marks, proposed dissertation details including duration and area of work. The form requires signatures from the student and head of department/principal for authentication.

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0% found this document useful (0 votes)
51 views1 page

Project Application Form

The 3 sentence summary is: This document is an application for admission of college/university students for dissertation/project work at CSIR-CECRI. It requests information such as the student's name, date of birth, college details, academic marks, proposed dissertation details including duration and area of work. The form requires signatures from the student and head of department/principal for authentication.

Uploaded by

aravind029
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Application for admission of college/university student(s)

for dissertation/project work at CSIR-CECRI, Karaikudi-630 003


2018-2019

Name of student (Capital letters) :

Date of birth :
Name of college and :
address with pin code,
phone, fax No. & e-mail

Category (copy of the certificate


should be enclosed to avail
relaxation in marks ) : General /OBC/BC/MBC/DNC/SC/ST/

Course with subject name &year of study:

Details of marks secured in MSc/ME/MTech (semester-wise)

Degree College / From - To Subject % of Marks /Grade

MSc/ 1st semester


ME/ MTech 2nd semester

MPhil 1st semester

Details on dissertation work to be carried out:

(i) Duration: 3 /6 /12 Months: From To

(ii) Area or division in which wish to work (please see CECRI website for details):
1.
2.
3.
(iii) Have any preliminary negotiation been made earlier? : Yes / No
If yes, please furnish the particulars along with one page write up:

Counter Signature Student’s Signature


of HOD/ Principal

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