IndiaAI Mission Fellowship - OpnForm

Academic Information

Institution Name *

Program Enrolled *

Student Information

Student Full Name *

Date of Birth *

Category *

Gender *

Email Address *

Mobile Number *

Nationality *

Engineering Branch *

Institute ID Number *

Full Time Student *

Bank Account Number *

Bank Account Holder’s Name *

Bank Name *

IFSC code *

APAAR ID *

Postal Address

Address line 1 *

Address line 2 *

City *

State *

District *

Pincode *

Permanent Address

Address line 1 *

Address line 2 *

City *

State *

District *

Pincode *

Project Information

Project Title *

Project Description *

0/2000

Project Guide Full Name *

Project Guide Designation *

Project Guide Department *

Project Guide Email ID *

Project Guide Contact No. *

Project Co Guide details (if any)

Name

Designation

Email ID

Institute and Department

Contact No.

Document Checklist (File Uploads)

Filled Nomination proforma as per the format along with original signature of student and signed and stamped by the Project Guide *

Click to choose a file or drag here

Size limit: 50MB per file

Signed and stamped endorsement letter from the Institute Head/Registrar/HoD on official letterhead as per the format *

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Size limit: 50MB per file

Signed and stamped endorsement letter from the project guide on official letterhead as per the format *

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Size limit: 50MB per file

Original mark sheet of all the semester of B.Tech & M.Tech consolidated (whatever applicable) *

Click to choose a file or drag here

Size limit: 50MB per file

Original GATE Score card (For M.Tech Students only)

Click to choose a file or drag here

Size limit: 50MB per file

APAAR Id screenshot verified by Digilocker *

Click to choose a file or drag here

Size limit: 50MB per file

Cancelled Bank Account cheque or cover page of passbook (Bank account should be in the name of Student) *

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Size limit: 50MB per file

Clear Picture of the Cancelled Cheque for the Bank Account Mentioned Above

Letter of Recommendation (If applicable)

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Size limit: 50MB per file

Any other relevant documents

Click to choose file(s) or drag here

Size limit: 50MB per file

Declaration

I hereby declare that the information provided is true and correct to the best of my knowledge. *