Indian Academy of Sciences

Indian National Science Academy

The National Academy of Sciences, India

Summer Research Fellowships 2011

Name of the Applicant Name of the Teacher

Institution Title /Position

Course studying and Year Institution

Broad discipline of interest Quote online registration No

1.I know the applicant for years as an undergraduate / graduate / postgraduate / others (specify)

2. I know the applicant Quite well Fairly well Not so well

Summary of evaluation (tick appropriate boxes)

Out standing High Medium Low Not Known

(among top (5-10%) (10-20%) (<20%)
5%)
General Aptitude
Breadth of scientific interest
Knowledge of the discipline
Communication / writing skills
Applicant’s strong qualities :

1.
2.
3.
Applicant’s weakness
1
2
3
Name & address in Capital Letters :

Date : Signature of the Teacher

 Indian Academy of Sciences
Indian National Science Academy
The National Academy of Sciences, India

Summer Research Fellowships 2011

Category of the Applicant Broad area of Interest (Identify One)

Student Teacher Agriculture Sci Life Sciences

Chemistry Mathematics

Earth & Planet Sci Physics

Quote Online Engineering Incl

Reg No Computer science

1.Initial : Last Name : 5.Date of Birth

2.Address for correspondence 6.Email

3.Full home address (if different from col.2) 7.Telephone Mobile

4.Gender : M /F 8.Education