Technical Education Quality Improvement Programme

Indian Institute of Technology Delhi

Hauz Khas, New Delhi - 110 016
Tel: +91-11-26597118/ 26591915
Web: http://cepqip.iitd.ac.in

Application Form: Summer Fellowship Research Programme – 2020 (SFRP- 2020)

Name: ______________________________________________________________________

UG/ PG Year: ________________Semester (appeared/ Completed)___________________

Please affix a
Institution/College with Address: _________________________________________________ recent passport
size photograph
___________________________________________________Pin Code: _________________
Address for Correspondence: ____________________________________________________
____________________________________________________________________Pin Code: _________________
Mobile No.:_______________________________ Email: ______________________________________________

Date of Birth: _______________ Gender: (Male/Female) ___________ Accommodation required? Yes/No____

Qualification (in reverse chronological order)* (Please feel free to attach a separate sheet in case of
insufficient space)

Degree Branch Year of College/University Institution % of marks

Specialization passing obtained

Name of the Faculty Mentor from 1)

IIT Delhi 2)
In order of preference from the list
displayed on the website: 3)
http://cepqip.iitd.ac.in/SFRP-2020.php 4)

Declaration:

I_______________________ declare that all the information given by me in the application form is correct.
It is my responsibility to take care of any eventuality for the period of stay at this Institute.

Place:__________________
Date:__________________ Signature of Applicant

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 No Objection Certificate

Ms./Mr.________________________________________belong to full time B.Tech/M.Tech

____________ Semester/Year__________in the Department/Centre of ________________________at

__________________is hereby permitted to attend the Summer Fellowship Research Programme –
2020 under TEQIP-III (SFRP-2020).
This Institute/ College is under TEQIP-III scheme and has no objection for attending full time research
work by the student under Summer Fellowship Research Programme-2020 at IIT Delhi from

Signature & Seal of Head of the Institution/College

(Please forward this application form (duly filled and signed/authorized by competent authority) to,
The Head QIP/CEP/TEQIP-III, QIP-CEP Office, (Summer SFRP – 2020) 1st floor, Wing-B, Vishwakarma Bhawan,
Indian Institute of Technology Delhi, Hauz Khas, New Delhi – 110 016 latest by April 07, 2020 (Tuesday)

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