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Dept. of Inorganic and Physical Chemisty, Indian Institute of Science, Bangalore

This document is an application form for the Kaushal Kishore Memorial and Royal Society of Chemisty Summer Research Fellowship 2015 at the Indian Institute of Science in Bangalore. It requests basic information from the applicant such as name, date of birth, address, and current college affiliation. It also asks for the applicant's proposed research area and preferred faculty supervisor. Additionally, it requires the applicant to submit documents like photo ID, academic transcripts, and a brief statement of research interests. By signing the form, the applicant declares the information is true and they are not currently supported by another fellowship.

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vamsikrishna14
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46 views2 pages

Dept. of Inorganic and Physical Chemisty, Indian Institute of Science, Bangalore

This document is an application form for the Kaushal Kishore Memorial and Royal Society of Chemisty Summer Research Fellowship 2015 at the Indian Institute of Science in Bangalore. It requests basic information from the applicant such as name, date of birth, address, and current college affiliation. It also asks for the applicant's proposed research area and preferred faculty supervisor. Additionally, it requires the applicant to submit documents like photo ID, academic transcripts, and a brief statement of research interests. By signing the form, the applicant declares the information is true and they are not currently supported by another fellowship.

Uploaded by

vamsikrishna14
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
You are on page 1/ 2

Kaushal Kishore Memorial and Royal Society of Chemisty (Deccan Section)

Summer Research Fellowship 2015


Dept. of Inorganic and Physical Chemisty, Indian Institute of Science, Bangalore
Application form
Please fill-in / replace the contents right-hand column with the required information.
Basic Information
1

Applicant name

Date of birth and age

Postal address

Email address

Ms. / Mr. ....

Current College / University Affiliation


5a

Currently studying at ...

College / University name and address

5b

Current progamme and


year/semester of study

E.g., Int. M.Sc, 6th semester

Required Documents
Scan of a photo ID provided by the college/institute/university.
Scan of marks sheets/transcripts. Students up to 3rd year B.Sc /Int. M.Sc must submit all
transcripts from their 1st year onwards, including the current year as well as the final class
XII marks sheet. Students in the other years should submit transcripts of the previous two
years as well as the current year.
Please take the time to name the files properly as given on the application website.
Declaration and Signature

By signing the form below, the applicant affirms that information provided is true. The applicant
also states that she/he is not already supported by another fellowship or stipend, provided by the
college/university of present affiliation or by any other funding agency, for the period between 1 st
May 2015 and 31st July 2015. If any information is found to be false, the application shall not be
considered further / fellowship, if awarded, shall be withdrawn with immediate effect.
Sample signature scan's max. dimensions
Delete this box, and paste your signature
Make sure it is clearly legible
Date and place:

Paste the scan of your signature above (max. height: 0.2 cm)
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Research Area and Preferred Period of Project


6a

Field(s) of interest

E.g., Polymer chemistry, Inorganic Synthesis, etc.

6b

Faculty member(s) you


would like to work with
(up to 3, in order of
preference)

1.
2.
3.

6c

Proposed date of starting

Specify date

Prior summer/winter projects


7

Number of projects so far

Details of the last project


Project Title
Host Faculty
Host Department
Project Period

A brief description of your research interests


(One paragraph only, 200 words)
Important: No detailed research projects. Please give, very briefly and in your own words, why you
are interested in the topic(s) you have given in field 6a.

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