DETAILS OF STUDENT PARTICIPATING IN THE SLEPC _2022-23

Paste the clear student photograph here.

Paste the clear Prototype/Model Photograph here

Student Name:

Reference Number:

D.O.B:

Class:

State:

District:

School Name:

Father Name:

Contact Number (Personal):

Contact Number (Parent):

Contact Number (Teacher):

Contact Address:
Idea/Innovation Title: __________________________________________________

Unique/Innovative Feature of the Idea/Innovation:

How did this idea strike you first?

What motivated you to develop this idea?

Your biggest inspiration/idol:

Tell me something about yourself (Interest, Hobbies, extracurricular activities. if any):

Idea/Innovation Description: