KISHORE VAIGYANIK PROTSAHAN YOJANA -2019

INDIAN INSTITUTE OF SCIENCE, BENGALURU-560 012

Science Stream SA/SB/SX

Affix your
recent
STUDY CERTIFICATE photograph

Student’s Roll No.: Application ID: Student’s Name:

19

Name of the College

Address

This is to certify that Ms./Mr. ………………………………………………………. is a bonafide Student of

this College/Institution. She/He joined for XI / XII Standard/ I year of Pre University
Course/Intermediate/First year B.Sc / Bachelor of Science (Research) / BS / B.Stat. / B.Math. / Int. M.Sc /
Int. MS (tick whichever applicable) in Science Stream during the academic year 2019-20.
(please enter subjects of study from the below list)
Subjects
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2
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(Chemistry, Physics, Mathematics, Biology, Statistics, Biochemistry, Microbiology, Cell Biology, Ecology,
Molecular Biology, Botany, Zoology, Physiology, Biotechnology, Neurosciences, Bioinformatics, Marine
Biology, Geology, Human Biology, Genetics, Biomedical Sciences, Applied Physics and Geophysics)

Signature of the Head of the Institution

Place:
Date: (Name: ………………………………………….)
(Office Seal)