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INDIAN INSTITUTE OF INFORMATION TECHNOLOGY, LUCKNOW

B.Tech Project (BTP) Selection Form

1. Student Details

Name: ________________________________________ Roll No.:____________________

Department: ______________________________

2. BTP to be done (tick anyone)

[ ] within the institute OR [ ] outside the institute

Name of the Host Institute (if not IIIT, Lucknow): _________________________________

3. Details of Consent

Supervisor Name Signature giving Consent

________________________________

Signature of the student with date

4. Details of the allocated project (to be filled by the department)

(Submit to the HoD office)

Remarks/Recommendations of the Concerned Head:

_______________________

Signature with date

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