B.

Tech Project Guidelines

Off-Campus BTP Form

Off-Campus BTP – Mentor Consent Form (Academic Year 2023-24)

Student ID Name of the student Broad project area (Tentative) Name of the off-campus
supervisor
/Organization

202011035 Kadali Sri Akash Deep Learning Techniques in Dr. Deepak Ranjan
Medical Imaging Nayak, MNIT Jaipur

Placed through: Institute placement/ Personal initiative

Campus placement status: Job only/ Job + Internship/ Internship only

Declaration

I am confident that, I do not have any backlog course for which I need to attend the classes
at IIIT Vadodara during the winter semester 2023-24. If it is found that, I am participating
in Off-campus BTP with backlog courses of previous semester’s requiring to attend classes
during winter semester 2023-24 my academic program will extend beyond 4th year. I
declare that, the information submitted above are correct.

Signature of Student

7
B. Tech Project Guidelines

Annexure-I

Acceptance of the Internship

To,
The BTP Coordinator,
Indian Institute of Information Technology Vadodara- International Campus Diu
Diu, (U.T) 362520

We hereby agree to accept the following student:

Name of the student: ____Kadali Sri Akash_____

Student ID: ____ 202011035_________

for his/her final year B Tech project in our organization for a period of 6 Months (about 24 weeks)
starting from ____ January 15th _________

The details of the Off-campus supervisor who would look after the project work of the student
and interact with the corresponding IIIT Vadodara’s On-campus mentor are as follows:

Name: ____ Dr. Deepak Ranjan Nayak ____________________

Organization: Malaviya National Institute of Technology Jaipur___________
Office Address: Malaviya National Institute of Technology Jaipur, Jawahar Lal Nehru Marg,
Jaipur - 302017 (Rajasthan) INDIA
Phone No. (Office): _ (+91) 9861352739 ______________
Mobile: _ (+91) 9861352739 _______________
Email address: ________________drnayak.cse@mnit.ac.in___________________

We understand that the Off Campus BTP/ Internship is an academic requirement for graduation
and we will fulfill the prescribed project requirements. We also would provide the necessary
information required as part of the student's BTP evaluation process. The student will be allowed
to travel to IIIT Vadodara whenever required for evaluation purposes on the prescribed dates.
Remarks, if any ______------------___

Sincerely,

(Signature)

(Name and Designation of the signing authority) (Seal of the Organization)