Roll Number: _____________________

Date: __________________

Name : __________________________

Contact No: _____________

Area of Specialization (Related to Project) ____________________________________

Title of Project Report ___________________________________________________

PROJECT VIVA FORM

IMT-52
Choice o f Venue fo r Viva Voce (Tick any one of the following Venue)
1. IMT CDL Ghaziabad
2. IMT CDL Kol kata
3. IMT CDL Hyderabad
Check List
1. Pho tocopy o f Approved Synopsis
2. Pho tocopy o f Identity Card Issued b y IMT CDL
3. Ackno wledgement letter and resume from Projec t Guide

Roll Number: _____________________

Date: __________________

Name : __________________________

Con tact No: ______________

Area of Specialization related to Projec t: _____________________________________

Received by:

IMT-CDL Head Office: A-16, Site III UPSIDC Meerut Road Industrial Area, Ghaziabad 201001