Indian Society of Heating Refrigerating & Air Conditioning Engineers (ISHRAE)

1103-04, 11th Floor, Chiranjiv Tower,

43, Nehru Place, New Delhi-110 019
Tel: 011 41635655

Please complete all of the information requested in the following tables. All Submissions must be submitted
electronically in PDF format by e-mail at ……………………….. (Awaiting)
Due Date: 31st August 2021, 11:59 P.M
Late or incomplete applications will not be accepted.

I. GENERAL INFORMATION

Sr. No Item Details

Student/s Name, Mobile number, E-

mail, ISHRAE membership number
(Maximum four student members
and Team leader shall be given as
first name)

Team Leader Name

Student 1

Student 2

Student 3

Student 4

2 College Name and address

Faculty Adviser /Guide Name

(Name, Address, Mobile number and
3
email)

Is Faculty Adviser /Guide ISHRAE

member?
4 If yes, ISHRAE Membership Yes/No
Number

Is there Industry Involved for this Yes/No

5
Hackathon Competition in your work?

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 Indian Society of Heating Refrigerating & Air Conditioning Engineers (ISHRAE)
1103-04, 11th Floor, Chiranjiv Tower,
43, Nehru Place, New Delhi-110 019
Tel: 011 41635655

Industry Adviser /Guide Name

6 (Name, Address, Mobile number and
email)

Is Industry Adviser /Guide ISHRAE

member?
7 If yes, ISHRAE Membership Yes/No
Number

Principal of the College

8 (Name, Address and email)

Local ISHRAE Chapter Name and

9 Address
(Name, Address and email)

ISHRAE Student Chair at the local

chapter
10 (Name, Address with Mobile number
and Email)

Name of the project Mentor from

11
lSHRAE Society

HVAC&R Hackathon area selected

12
for work

Problem Statement of HVAC&R

13
Hackathon

14 Brief abstract (Maximum 500 words)

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 Indian Society of Heating Refrigerating & Air Conditioning Engineers (ISHRAE)
1103-04, 11th Floor, Chiranjiv Tower,
43, Nehru Place, New Delhi-110 019
Tel: 011 41635655

IV. CERTIFICATE FROM THE LOCAL ISHRAE CHAPTER (DIGITAL)

The HVAC&R Hackathon entitled by our ISHRAE student members

1. Mr. (ISHRAE student membership ID: SXXXXXXX)

2. Mr. (ISHRAE student membership ID: SXXXXXXX)
3. Mr. (ISHRAE student membership ID: SXXXXXXX)
4. Mr. (ISHRAE student membership ID: SXXXXXXX)

of (COLLEGE NAME AND ADDRESS), is submitted here with to the HVAC&R Hackathon committee –
ISHRAE HQ, New Delhi.

We hereby certify that the above said HVAC&R Hackathon entry is checked at chapter level in HVAC & R
field and may be considered for further scrutiny.

Date:
Place:

Student Chair Chapter President Faculty Advisor/Guide

(Seal of the student chair) (Seal of the Chapter President) (Seal)

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