HUMAN RESOURCE DEVELOPMENT DIVISION Form No.

P 2
VIKRAM SARABHAI SPACE CENTRE
THIRUVANANTHAPURAM- 695 022
For dependant of an ISRO Employee
_________________________________________________________ ( CHSS Card must be produced for verification )
Application form for Engineering Graduate level
ACADEMIC PROJECT WORK
__________________________________________________________________________________________________________________________
Instructions to the applicant(s) :
Please read the instructions/ guidelines below, before filling up this form.
The duration of the Project work (Block period) is SIX Weeks {8 annual block periods: 1 Jan-15 Feb; 16 Feb-31 Mar; 1 Apr-15 May;
16 May-30 Jun; 1 Jul-15 Aug; 16 Aug-30 Sep; 1 Oct-15 Nov; 16 Nov-31 Dec}. Applicants ( group of 2 including the dependant of ISRO
employee ) must be from the same branch, semester, and College. Fill in all details legibly and clearly, in CAPITAL LETTERS.
The form, completed in all respects by the applicants and approved by the Principal (or HOD), must be forwarded to
HEAD, HRDD/Dy. Manager, HRDD, VSSC, Two months before the block period (eg. Apply before 15 Dec 08 for Block period
16 Feb-31 Mar 09). Approval of a Project Guide in VSSC shall also be obtained in this format. A photograph (stamp size) of
all applicants to be fixed below and attested by the Principal.
The acceptance of the application will be communicated to the first applicant ( or guardian in ISRO ), atleast one month before the
block period. The mark sheets in original and College ID must be produced for verification, at the time of registration of the Project work
and issue of entry passes.
No correspondence in this regard will be entertained. Queries, if any, shall only be through the guardian in VSSC of the applicant.
PART A To be completed by the applicant(s)
First Second Third
Project Block period (in the order of preference) :

Details of first applicant : Name : Mr. / Ms. ……………………………………………………………….…

Course of study : ……………Branch : …………………… Current semester : …………………….
College : …………………………… Place : ……………………District : ………….State : ………

Full address (for communication) :

Address : ……………………………………………………………………………………………….
District : ……………………………….. State : ………………………… PIN :
…………………..
Telephone number(s) with Code : (………) …………………………….
e-mail ID : …………………………………….. Signature : …………………………………………

Details of the Parent/ Guardian

Name : Mr. /Ms. ………………………………. Designation: …………………….. SC No.
………….
Section / Division : ………………. Entity : …………… Tel No. ………………………………….
Date : ………………. Signature : ……………………………………………..
Co-applicant (if any).
Name:……………………………………………….. Signature:……………………….
Photographs of applicants ( affix in the above order, and attested by the Principal ) :
(1) (First applicant) (2) Co- applicant

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PART B To be completed by the applicant(s) and certified by the Principal of the College
The Project work requested by the above applicant(s) is an essential part of the curriculum. The
applicants may be permitted to do Project work in VSSC during in above block period, during which
they will be relieved to do Project work at VSSC. The photographs of the applicants, character &
conduct, and the aggregate% marks scored by the applicant(s) in each semester are certified as below.
Sl. Avg Character &
No. Name of applicant S1 S2 S3 S4 S5 (%) Conduct
1
2

Name and signature of the Principal : College Seal

with Date :
_________________________________________________________________________________

PART C To be completed by the Project Guide in VSSC

I agree to guide the applicants for the Project work, for completion in the above block period.
The Topic for the Project work is:
Name : Mr. / Ms. Designation: SC No.
Section / Division : Entity :
Date : Signature :

Approval by Division Head / Group Director.

Name : Mr. / Ms. Division /Group /Entity :
Designation : Date : Signature:
_________________________________________________________________________________
For HRDD Office use

Application No. : Date of receipt :

College Code :

Status of approval : Accepted / Rejected Project Code: Block

period :

Date of communication to applicant:

Forwarded to PR for pass issue : Head, HRDD/Dy.Manager,HRDD

________________________________________________________________________________
For PR Office use
Marks / Photo/ ID verified by : Pass No. issued on :
Returned to HRDD on :
AO, Public Relations
________________________________________________________________________________
Notes / Remarks