HUMAN RESOURCE DEVELOPMENT DIVISION

VIKRAM SARABHAI SPACE CENTRE

THIRUVANANTHAPURAM
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Application
Form for M Tech/ME
FINAL YEAR
ACADEMIC PROJECT WORK
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(To be filled by the Student)

01. Name of the Student : Affix

02. (i) Name of Parent : Photograph
(ii) Occupation : attested by
03. Address : Principal/HO
D

04. Phone Number :

05. Name of the College/Institution :
06. Address of College/Institution with Pin code :

07. Name of the present course of study :

08. Discipline/Branch :
09. Duration of Course of study : Semesters / Years
10. Semester in which College permits to do Project Work : Semesters / Years
11. College ID Number :
12. Date of commencement of Project Work : Date . . . . . Month . .. . . . . .Year
13. Date of Completion of Project Work : Date . . . . . Month . .. . . . . .Year
14. Duration : (Max. 1 Year)
15. Signature of Student :
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( To be filled by Head of the Dept./Principal of the College )
16. Is the project training requested by the above student
is the main project of curriculum : YES / NO

17. Will he / she be permitted to undergo project Work

on regular basis during the period applied : YES / NO
18. Conduct and Character of the Student :
19. Details of Academic Performance :

Name : M Tech Marks %

B Tech Marks %
Name S1

Signature of the Principal/HOD:

Name:
Phone No (Tel/Mobile):
Email:
Date:
(College Seal)
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NOTE:
1. Students applying for M Tech/ME Project Work starting anytime in
a) January to June must submit the Application & Declaration forms duly filled in all
respects on or before 15th November of the previous year.
 b) July to December must submit the Application & Declaration forms duly filled in all
respect on or before 15th May of the same year.
2. A detailed biodata should be attached separately.
3. A stamp size photo to be affixed above and attested by the Principal/HOD with seal.
4. The application form and the declaration by the Student/Principal of the college should
be filled in all respect.
5. Dual degree, Internship, Industrial Training, Summer Training etc. are not entertained.
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6. If the project is accepted by VSSC
a) The college ID and one Valid photo ID proof (Voters ID or Driving Licence or Passport)
of the applicant along with copy must be produced for verification.
b) Students should complete the project work as mentioned in the No. 12,13 & 14.
c) The students should strictly follow all Security Rules & guidelines while in the campus.
The Project Guide in VSSC will be the Reporting Officer for the Students, during their
Project Work.
d) No certificates will be issued from HRDD.
e) The project work should be completed within the stipulated period and no further
extension is permitted.
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DECLARATION

I,, M.Tech student in ..

(Branch) from (College)
. (University) if selected for M. Tech Project
Work in VSSC agree to abide to all conditions stipulated by VSSC. I also declare that I
wont present/publish/submit any part or full portion of the project report, data or any
other details of the work carried out by me in VSSC/ISRO without the prior permission of
VSSC Guide/Approval by the concerned DD of the respective Entity in any
conference/seminar/workshop/journal/book either in print or in electronic media etc.
other than project work presentation in College/University for examination purpose.

Signature of Student

We certify and we stand responsible for the above mentioned terms regarding
the project work undertaken by
Shri/Smt...M.Tech
student in ......................................(Branch) from our college in VSSC/
ISRO.
Signature of Guide from College Signature
of Principal / HOD
With office seal

Place:
Date :

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To be sent to:

Head, HRDD
VSSC, Thiruvananthapuram 695 022