24th NATIONAL CHILDREN SCIENCE CONGRESS

JAWAHAR NAVODAYA
VIDYALAYA
JHARSUGUDA, ODISHA

TITLE OF THE PROJECT

ENVIROMENTAL EFFECT ON EYES IN JHARSUGUDA
Guided by: Mr.Bikram malik [TGT Mathematics] Prepared by:-
Deepak patel
Group Leader:- Deepak patel
Group members ;
1. Priyanshu Ekka
2. Jay kishan patel
3. Sonalika Sahoo
4. Pushpita palai

Sign of principal
 National Children’s Science Congress, 2016-17
State Level Children’s Science Congress

REGISTRATION FORM-A

1. State: NVS
2. District: JHARSUGUDA

3. Title of the Project : Environmental effects on eye in Jharsuguda

4. Language Used: ENGLISH 5.Area (Rural/Urban): RURAL

6. Name of the Group Leader :Deepak Patel

7. (a) Date of Birth : 25/11/2003 b. Age as on 31/ 12 /2016: 13 YEARS 1 MONTH 8. Sex(M/F): M

9. Name of Institution with Address: JAWAHAR NAVODAYA VIDYALAYA, JHARSUGUDA,ODISHA

PIN-10. Residential Address: JAWAHAR NAVODAYA VIDYALAYA, JHARSUGUDA,ODISHA
PIN- Phone No(s)-
11. Particulars of the Team Member:

i) a. Name-Jay kishan Patel c.Age as on 31/12/2016 13 YEARS

b. Date of Birth;27/02/2003 d.Sex(M/F): M

Address: JAWAHAR NAVODAYA VIDYALAYA, JHARSUGUDA,ODISHA

ii)a. Name:Piyanshu Ekka

b. Date of Birth: 30 /12 /2003 c.Age as on: 31 /12 /2016 13 YEARS 0 MONTH
d.Sex(M/F): M

Address: JAWAHAR NAVODAYA VIDYALAYA, JHARSUGUDA , ODISHA

iii)a. Name: Sonalika Sahoo

b. Date of Birth 18 / 11 /2003 c. Age as on 31 /12 /2016 13 YEARS 1 MONTH

d. Sex(M/F): F
Address: JAWAHAR NAVODAYA VIDYALAYA, JHARSUGUDA , ODISHA
Vi]a.Name; Pushpita Palai
b. Dateof birth ; 24 /10 / 2003 c. Age as on 31 / 12 /2016 13 YEARS 2 MONTH
d.Sex[m/f];F
Address;JAWAHAR NAVODAYA VIDYALAYA, JHARSUGUDA , ODISHA
12. Name of the Guide Teacher: MR.Bikram Malik (TGT Mathematics)
Address: JAWAHAR NAVODAYA VIDYALAYA, JHARSUGUDA , ODISHA
PIN-\768202

Phone No(s)- , Mobile No.

D.J Mishra
District Co-ordinator
Head of the Institutio