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HUMAN RESOURCE DEVELOPMENT DIVISION Form No. P 2VIKRAM SARABHAI
SPACE CENTRETHIRUVANANTHAPURAM- 695 022
For dependant of anISRO Employee
_________________________________________________________ ( CHSS
Card must be produced for verification )
Application form for Engineering Graduate level
ACADEMIC PROJECT
WORK__________________________________________________________________________________________________________________________
Instructions to the applicant(s) :Please read the instructions/
guidelines below, before filling up this form.The duration of the
Project work (Block period) is SIX Weeks{8annual block periods: 1
Jan-15 Feb; 16 Feb-31 Mar; 1 Apr-15 May;
16 May-30 Jun; 1 Jul-15 Aug; 16 Aug-30 Sep; 1 Oct-15 Nov; 16
Nov-31 Dec}. Applicants ( group of 2 including the dependant of
ISRO
employee ) must be from the same branch, semester,and College.
Fill in all details legibly and clearly, in CAPITAL LETTERS.
The form, completed in all respects by the applicants and
approved by the Principal (or HOD), must be forwarded to
HEAD, HRDD/Dy. Manager, HRDD, VSSC, Two months before the block
period (eg. Apply before 15 Dec 08 for Block period
16 Feb-31 Mar 09). Approval of a Project Guide in VSSC shall
also be obtained in thisformat. A photograph (stamp size) of
all applicants to be fixed below and attested by the
Principal.
The acceptance of the application will be communicated to the
first applicant ( or guardian in ISRO ), atleast one month before
the
block period. The mark sheets in original and College ID must be
produced for verification, at the time of registration of the
Project work
and issue of entry passes.
No correspondence in this regard will be entertained. Queries,
if any, shall only be through the guardian in VSSCof the
applicant.PART A To be completed by the applicant(s)
First Second Third
Project Block period (in the order of preference) :
Details of first applicant : Name : Mr. / Ms. .
Course of study : Branch : Current semester : .
College : Place : District : .State :
Full address (for communication) :
Address : .
District : .. State : PIN :
..Telephone number(s) with Code : () .
e-mail ID : .. Signature :
Details of the Parent/ Guardian
Name : Mr. /Ms. . Designation: .. SC No.
.
Section / Division : . Entity : Tel No. .
Date : . Signature : ..
Co-applicant (if any).
Name:.. Signature:.
Photographs of applicants ( affix in the above order, and
attested by the Principal ) :
(1) (First applicant) (2) Co- applicant
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PART B To be completed by the applicant(s) and certified by the
Principal of the College
The Project work requested by the above applicant(s) is an
essential part of the curriculum. The
applicants may be permitted to do Project work in VSSC during in
above block period, during which
they will be relieved to do Project work at VSSC. The
photographs of the applicants, character &
conduct, and the aggregate% marks scored by the applicant(s) in
each semester are certified as below.Sl.
No. Name of applicant S 1 S 2 S 3 S 4 S 5
Avg
(%)
Character &
Conduct
1
2
Name and signature of the Principal : College Seal
with Date :
_________________________________________________________________________________
PART C To be completed by the Project Guide in VSSC
I agree to guide the applicants for the Project work, for
completion in the above block period.
The Topic for the Project work is:
Name : Mr. / Ms. Designation: SC No.
Section / Division : Entity :
Date : Signature :
Approval by Division Head / Group Director.
Name : Mr. / Ms. Division /Group /Entity :
Designation : Date :
Signature:_________________________________________________________________________________
For HRDD Office use
Application No. : Date of receipt :
College Code :
Status of approval : Accepted / Rejected Project Code: Block
period :
Date of communication to applicant:
Forwarded to PR for pass issue : Head, HRDD/Dy.Manager,HRDD
________________________________________________________________________________
For PR Office use
Marks / Photo/ ID verified by : Pass No. issued on :
Returned to HRDD on :
AO, Public Relations
________________________________________________________________________________
Notes / Remarks
