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INDIAN INSTITUTE OF TECHNOLOGY MADRAS

Chennai ‐ 600 036


IITM ‐ Summer Fellowship Programme ‐ 2011 
The IITM Summer Fellowship Programme for two months duration with fixed stipend of Rs.6,500/­ 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 mini­project to be undertaken in different departments of this Institute. 
Candidates  pursuing  III  year  of  B.E./B.Tech/B.Sc.  (Engg.)  /  Integrated  M.E.  /  M.Tech.  programme and  first  year  of  ME  / 
M.Tech  /  M.Sc.  /  M.A.  /  MBA  with  outstanding  academic  background  in  terms  of  high  ranks  (within  three  ranks)  in 
University  examinations  are  encouraged  to  apply,  highlighting  their  academic performance  and  achievements  including 
papers  presented  at  seminars,  projects  executed, design contests  participated,  score/rank  in  Mathematics  Olympiad and 
any other awards/distinctions obtained. 
Application form and other details can be downloaded from the IITM web­site: www.iitm.ac.in The last date to receive the 
filled in Application is 18.02.2011. 

Date: 15.1.2011  Assistant  Registrar (Academic)

IITM ­ Summer Fellowship Programme ­ 2011 
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 are encouraged to
apply, highlighting their academic performance and achievement including papers presented
at seminars, projects executed, design contests participated, score/rank in Mathematics
Olympiad and any other awards/distinctions obtained.
[IIT students are not eligible to apply].
Period of the Project: The contact period for the project will be two months normally
during 16th May ‐ 15thJuly 2011. 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: 2. Science Departments:
· Aerospace Engg · Physics
· Applied Mechanics · Chemistry
· Bio Technology · Mathematics
· Chemical Engg
· Civil Engg 3. Humanities & Social Sciences
· Computer Science & Engg
4. Management Studies
· Engineeing Design
· Electrical Engg
· Mechanical Engg
· Metallurgical & Materials Engg
· Ocean Engg.
APPLICATION FORM FOR ADMISSION TO 
IITM ­ Summer Fellowship Programme – 2011 

Department :………………………………………………………

1. Name : ……………………………………………………………………………………….
PHOTOGRAPH 
Date of Birth (DD/MM/YY) : …………………………………… Age :………………
Affix Recent 
Address for Communication: Permanent Address : Passport Size 
Photo
……..……………………………………………………… ………..………………………………………………………………………

……..……………………………………………………… ………..………………………………………………………………………

……..……………………………………………………… ………..………………………………………………………………………
Pincode :
..……………………………………………………. Pincode : ………………………………………………………………….
Phone No:
..…………………………………………………… Phone No: .………………………………………………………………..
Mobile No: Mobile No:
……………………………………………………… ………………………………………………………………….
Email :
.……………………………………………………… Fax No. : ………………………………………………………………….

2. Details of University/ Institution Studied (Bachelor's level and above)


Average
Degree Discipline University/College Year Marks/CG Class
PA
(a) ………… …………………… ……………………………………………………… ………… ……………… ………

(b) ………… …………………… ……………………………………………………… ………… ……………… ………

(c) ………… …………………… ……………………………………………………… ………… ……………… ………

(d) ………… …………………… ……………………………………………………… ………… ……………… ………

3. Whether any degree was obtained thro' correspondence course /


distance education mode : Yes / No
1. Examination Results:
a) Bachelor's Degree : ………………………. Branch : …………………………………………………..
Aggregate /
Semester I II III IV V VI VII VIII IX X Class
Grade
% of
marks
obtained 
­ 2 ­ 

b) Master's Degree: ………………………….. Branch : ………………………………………………….


Aggregate /
Semester I II III IV Class
Grade
% of marks/
Grade
obtained
c) Additional Qualifying Examination
(1) GATE (2) UGC‐JRF/Lectureship/CSIR/DAE (JEST)/Others
Score : …………………… Date of Exam : ……………………….
Valid upto : ……………………. Valid upto : ……………………….
4. Personal Information:
(a) Father's / Husband's
: …………………………………………… (g) Annual Income : ………………………………………
Name
Father's/Husband's (h) State to which the
(b) : ……………………………………………
occupation applicant belongs : ………………………………………
(c) Mother's Name : …………………………………………… (i) Martial Status :
………………………………………
(d) Place of Birth : …………………………………………… (j) Gender : Male /Female
(k) Whether SC/ST : Yes / No
(e) Mother Tongue : ……………………………………………
(If yes, enclose attested copy of certificate issued)
(l) Whether Physically challenged : Yes / No
(f) Nationality : ……………………………………………
(If yes, furnish the certificate to this effect)

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.

Place :…………………………………………

Date : ………………………………………. Signature of Applicant

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 write‐up on the intended project work at IITM.

should be sent to the concerned Head of the Department on or before 18.02.2011.

The Head of the Department


Department of _______________
Indian Institute of Technology Madras
Chennai ‐ 600 036 

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