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REQUISITION 'FOR PROJECT WORK IN APSRT'RC (Notification No'-PD-D5/2017, Dt.14.06.2,017) PHOTO
LName of the Student I.
2.Father's Name
3.QuaJJJicaticm details: a) Name of 'the College studying &
Address
b) Name of the Course studying (eg:Bg,/B.Te,ch/MEA etc.j)
c) Regd .. No./RoU No. in College d] Year of stud~ e) Institute I.D. subrnitted'(Yes/No)
4.Mobile No. 5 .. Project work details: a) Topic
b) Preferred place to do Project work c] Duration ()f Project work
, 6.Fee particulars: a) Amount b) MJZ.No. & Date
I
7. Is your Father/Mother working in APSRTC (Yes/No): a) If yes". indicate Name
b) Staff No. cl Design. d) Unit e) Letter submitted from Unit
OfficerfY e s./No r I 8. Requisition letter from the College
Principal/HOD/Guide endosed(Yes/No)
9. Email address of the student '.
lO.Aadhar No.of the student
Date: SIGNATURE OF THE STUDENT