IndiaAI Mission Fellowship

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 *

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)

Nomination Proforma *

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Size limit: 50MB per file

Letter of Recommendation (If applicable)

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Size limit: 50MB per file

Any other relevant documents

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Size limit: 50MB per file

Declaration

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