Format For (Project Executive Summary) PES: (To Be Filled Online)
Format For (Project Executive Summary) PES: (To Be Filled Online)
1. Name:
2. Father’s Name
3. Email:
4. Date of Birth:
5. Marital Status (Unmarried/ Married/ Divorcee/ Widow/ Others)
– including husband name if applicable
6. Category: (GEN/SC/ST/OBC/PH)
7. Employment Status : (Unemployed/Permanently
employed/Temporarily employed/ Employed on Contract/
Employed on Retainership/Employed as Adhoc/Others )
8. Correspondence Address:
9. City:
10. State:
11. PIN:
12. Telephone(O):
13. Telephone(R):
14. Mobile:
15. Fax:
16. Break in Career (Yes/No) with description:
17. Highest Educational Qualification:
M.Sc./B.Tech./MBBS/B.Pharma or other equivalent
professional qualifications
M.Tech./MD/MS/DM/MCH/M.Pharma
Ph.D Registered
Ph.D. Awarded
Ph.D Provisionally Registered
18. Year:
19. Subject
20. Thesis/Dissertation:
21. Guide Name, Designation & Address:
22. Proposal Title:
23. Department:
24. Institute Name:
25. Proposal Duration:
26. Proposal Estimated Cost:
27. Summary of Proposal:
28. Field of Experience(Keywords):