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IITMSummerFellowshipProgramme2010
The IITM Summer Fellowship Programme of two months with stipend is designed to enhance awareness and interest in high quality academic research among young Engineering, Management, Sciences and Humanities students through a goal oriented summer mini project undertaken at the Indian Institute of Technology Madras. Eligibility: Candidates pursuing third year of B.E./B.Tech./B.Sc. (Engg)/Integrated M.E./M.Tech. programme, first year of ME/M.Tech/M.Sc./M.A, MBA with outstanding academic background in terms of high ranks in university examinations, papers presented at seminars, projects executed, design contests participated, score/rank in Mathematics Olympiad and any other awards/distinctions obtained, are encouraged to apply. [IIT students are not eligible to apply]. Period of the Project: The contact period for the project will be two months normally during 17th May 16thJuly 2010. However depending on the convenience, the selected candidates can undertake the project at any time subject to the availability of faculty. Stipend: A sum of Rs.6,500/ (maximum) will be given as a stipend for a total period of 2 months. Participating Departments: 1. Engineering Departments: Aerospace Engg Applied Mechanics Bio Technology Chemical Engg Civil Engg Computer Science & Engg Engineeing Design Electrical Engg Mechanical Engg Metallurgical & Materials Engg Ocean Engg. 2. Science Departments: Physics Chemistry Mathematics 3. Humanities & Social Sciences 4. Management Studies
APPLICATIONFORMFORADMISSIONTO
IITMSummerFellowshipProgramme2010
Department : 1. Name : . PHOTOGRAPH
Date of Birth (DD/MM/YY) : Age : Address for Communication: .. .. .. Pincode : ... Phone No: .. Email : . Permanent Address :
2. Details of University/ Institution Studied (Bachelor's level and above) Degree (a) (b) (c) (d) .. Discipline . . . . University/College Year Average Marks/CG PA . Class
2 3. Whether any degree was obtained thro' correspondence course /distance education mode : Yes/No 1. Examination Results: Branch : V VI VII VIII IX X Aggregate /Grade Clas s
a) Bachelor's Degree : .. Semester % of marks obtained b) Master's Degree: Semester % of marks/ Grade obtained c) Additional Qualifying Examination (1) GATE (JEST)/Others Score : Valid upto : . 4. Personal Information:
(a) (b) (c) (d) (e) (f) Father's / Husband's Name Father's/Husband's occupation Mother's Name Place of Birth Mother Tongue Nationality : : : : : : (g) (h) (i) (j) (k) (l)
II
III
IV
II
III
Annual Income
Male /Female
Whether SC/ST : Yes / No (If yes, enclose attested copy of certificate issued) Whether Physically challenged : Yes / No (If yes, furnish the certificate to this effect)
3 Note :
The filled up application form along with the enclosures: 1. Original Study certificate from the Head of the Institution 2. Attested Photocopies of the Marks cards issued by the University 3. Attested Photocopies of the Rank certificates, papers presented, design contests participated, projects executed, score /rank in Mathematics Olympiad, any other awards/distinctions obtained etc. and 4. Two page writeup on the intended project work at IITM. should be sent to the concerned Head of the Department on or before 18.02.2009. The Head of the Department Department of _______________ Indian Institute of Technology Madras Chennai 600 036
DECLARATION
I hereby declare that I have carefully read the instructions and particulars supplied to me and that the entries made in this application form are correct to the best of my knowledge and belief. I understand that association (active or passive) with any unlawful organization is forbidden. If selected, I promise to abide by the rules and discipline of the Institute.