YUVA-MASTERMIND 2012

Proposal for Competition

1. Title of Project

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2. Particulars of the Educational Institution sponsoring the project:

2.1. Name

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2.2. Addres

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2.3. Phone No. (with STD code)

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2.4. Fax. No. (with STD code)

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2.5. E-mail ID

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2.6. Name of Head of Institution

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3. Particulars of project team members(Team leader's name first)

SN

*Name of Student

*Gender

*Class

Date of Birth

D D MMY Y Y Y
1
2
3
SN

Name of teacher/mentor

*Gender

*Qualification

Date of Birth

D D MMY Y Y Y
1
*Class 9th, 10th, +1, +2, B.Tech. 4th Year, etc.

*Qualification B.Sc., B.Ed., M.Sc., B.Tech., M.Tech., etc.

3.1 Contact particulars of team member(s):

SN

*Name and Address (Residence)

**Phone No:

**E-mail ID

**Phone No.

**E-mail ID

*Mentors name and Address (Residence)

Postal address (with PIN code)

**Give own or contact persons e-mail ID and Phone No. (with STD code, if applicable). If that
of a contact person, state below the e-mail ID and the Phone No. the contact persons name
and his/her relationship with the inventor (father, mother, teacher, friend, etc.)
4. Details of the project(In about 300 words):
4.1 Summary of project objectives and key ideas

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4.2 Detailed discription with diagrams whereever required

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4.3 Originality or Novelty of the Invention and advantages over other known alternatives:
[Briefly state the originality or novelty incorporated in the invention; may be, in comparison to the
existing device(s) used, if any, for the intended function(s); i.e., the original contribution of inventor(s)]

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4.4 Literature, if any, reviewed on the relevant topic:
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4.5 Anticipated area(s) or field(s) of its use/application:
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4.6 Present status: (Briefly state the work already completed and what remains):
4.6.1 Work done
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4.6.2 Work remaining

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5. Budget estimate (Include any other item, if required)

Rs

Materials (Structural steel,sheet,wire, pipe,hose,etc)

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Machine/equipment components
(Pulley, gear, wheel, solar cells, battery, etc.)

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Engine, electric motor, etc.

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Charges for fabrication, development, labour, etc.

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Charges for fuel, lubrication, etc.

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Miscellaneous

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Total

In words:

Rs

Rs

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..........................................Rupees

6. Signature of Inventor (All named against Items: 4 and 4.1 to give their signatures)
Name

Signature

1. ......................................................................

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2. .....................................................................

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3.......................................................................

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4.......................................................................

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5......................................................................

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Recommendation and dated signature of the Head of Institution:

Date: ....................................

(Office Seal) :............................................