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ee ENGINEER™ ELECRAMA-2014 ieema onergsing ina, energising the future ‘EE ANUARY 204, IES, BANGALORE, NOMA portato NOTE: ‘© This form must accompany the abstract of the project © Please fill in the details completely and properly. Your project abstract will be assigned a code and will be assessed in ‘complete anonymity. The details provided here are very important to link your abstract ta youlyour team. ‘© Photocopies of this Form may also be used, ‘© For any assistance, please call us at 0-7829000565 | 0-9840054131 | 0-9840324475 | 044-42300128 | 044-42150736, © Copy of Student ID card of each student member is essential. Submission of this form with all the details is essential for the project to be considered as a valid entry forthe compelition. A) Basic Details of the College and the Project: Ea Pen DETAI Name of the College with Complete Address Pincode Project Title Technology Area [Refer to brochure) Result Area (Refer to brochure] Branch for the project entry [Even ifthe Detectrical 0 Electronics Production projects of mult-disciplinary nature, TiMechanicat Ci Instrumentation Ci hndusirat ithas to be counted in ary one of these Engineering branches) Power [Computer Science/ Cl Others Information Technology Type of project (1 Working Modat 1 Simulation BI-THE STUDENT TEAM OF THE PROJECT SL.NO. | NAMEOFTHESTUDENTMEMBER BRANCH CLASS Broa (BE/ME/DIPLOMA,ETC]__ SEMESTER/YEAR B2-STUDENT TEAM MEMBERS CONTACT DETAILS Pan Pies) Beene) Beene Name E-mail Mobile Phone Other Phone. including STD Code B) Details of the project team: B3-THE FACULTY GUIDE Bax Pa) DETAILS Faculty Guide C1 Yes give detats below! __C1No Name ofthe Faculty Guide Department of the Facully Guide E-mail ID ofthe Faculty Buide Mobile Phone of the Faculty Guide Result Area Other Phone of the Faculty Guide Declaration by the Student Team : (To be signed by all the members) \We declare that the above project abstract submitted by us has been our own original work and has not been plagiarised from any other source, We agree to abide by the competition rules estaalished by IEMA and understand that ther discretion and decision is final regarding the competition. we are given a grant, we will use it only o complete the pratotype display and demonstration at ELECRAMA-2014, Bangalore International Exhibition Centre, Bangalore fram Jan 8 to Jan 12, 2074, We shall submit a bonafide student certificate from our institution if required, CCU STN Bonafide Student certification This is to certify that the above mentioned student members of the project team are bonafde students of this college, as per details provided above. Certified by Faculty guide Hoo [Dean Academic OPrincipal/Director other, Please Specity ‘Signature of the Certifying Authority: Date Seal of the insitution/Department Address for Correspondence: Itusing Courier service Pashin Consultancy & Training Pvt Limited using ordinary Postal Services: Block 1, 2D, Lakshmima Ramaniyam Apartments Pashin Consultancy & Training Pvt Limited No 40, th Seaward Road, Valmiki Nagar Post Box No 5010, Besant Nagar CHENNAI 600061, CHENNAI 400090 Photocopies othiform may ate used

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