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NATIONAL SCIENCE FAIR - NSF 2020 Regna. No.

APPLICATION FOR PARTICIPATION (For office use)

(Scanned copy of this application duly signed by the Principal should be emailed to the Organizing
Secretary. One application form should be used by one student only)

1. Particulars of Student participant /Title :

Name of the Student,


Title of the project
email id & Std. School Name/Address/Contact no.
mobile no.

2. Level (Please Tick) :


Primary Level 4th & 5th Std. [ ]
Middle Level 6th to 8th Std. [ ]
Junior Level 9th & 10th Std. [ ]
Senior Level 11th & 12th Std. [ ]

3. Category (Please Tick) : Physical Science / Life Science /Environmental Science

4) Name of the Teacher who guides the student/


Contact number :

5) Please mention any special facilities required :


for display in Science Fair such as water/power
supply etc.

BONAFIDE CERTIFICTAE
This project has been carried out by ----------------------------------------------------- (Name) of -----------
--------(Std.)------------------ ------------------------------------- School, -----------( City /Town) who shall
be permitted to participate in the NATIONAL SCIENCE FAIR - NSF 2020 to be held on the 3,4
January,2020 at Dhaanish Ahmed College of Engineering, Padappai, Chennai

Date SEAL Signature of the Head of the Institution

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