Information for the IIT Bombay Lab Migration Project (To be filled by college teacher) 1. Name in full : _______________________________________ 2. Address : ____________________________________________________ City _____________ State _________________________ PIN______________ 3. Email : ____________________________ Alternate Email (optional):____________________________ 4. Mobile No. : _____________________ 5. Phone No. : ______ - _____________ (STD Code) - (Phone Number) 6. Date of Birth : ____________________ Place Photo Here INSTRUCTIONS: 1. Application Checklist : a. Duly completed application form b. Photograph pasted on application c. Please do not send copies of any certifiactes with the application d. Please write the e-mail address clearly as this may be the preferable mode of communication e. No fee is required with the application f. After completion of project, be sure to mail the following forms: i.Copyright transfer form ii.Undertaking form signed by teacher, HoD, Principal iii.Receipt form g. Please subscribe the envelope with "PROPOSAL FOR LAB MIGRATION" 2. Instructions for Mailing the Application Send your application to Dr. Madhu Belur, Electrical Engineering Department, IIT Bombay, Powai, Mumbai - 400076 3. For further details and updates, please visit: a. Scilab website: (http://www.scilab.in/Lab_Migration_Project) b. For queries, please send email to :- (contact@scilab.in)