Application Form - The Institution of Engineers (India)

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The Institution of Engineers (India)
Technical Department
The Institution of Engineers (India) R&D Grant-in-aid Scheme
Application Form
(All data are to be typed in Times New Roman Font – 11 points)
REFERENCE NO. (To be provided by IEI)
X X X X X X X X X
A. Project Title (in CAPITAL letters – maxm. 150 characters):
B. Details of the Institution (in CAPITAL letters):
Name:
Address:
Town / City
State
PIN CODE
Name of Head of
Institution
Phone no. with STD code
Fax no. with STD code
C. Particulars of Guide(s) [Maximum. 2 guides per project. The Principal Guide’s name should be placed in Sl. no.1.
Correspondence will be sent to the email of Principal Guide]:
Sl.
Name
Surname
Department
Gender
(M/F)
G1
G2
Continued......
Sl.
Field of Specialization
Qualification
Experience (Years)
G1
G2
D. Particular of Student/(s) [The Principal Investigator’s name should be placed in Sl. no.1. Correspondence will be
sent to the email of Principal Investigator – maximum 3 students per project]:
Sl.
Name
Surname
Date of Birth
(dd/mm/yyyy)
Gender
(M/F)
S1
S2
S3
Continued......
Sl.
UG/PG /Ph.D/
Diploma
Department
Year of
study
Completion date of
study (dd/mm/yyyy)
Branch of research
subject**
S1
S2
S3
**Choose from this list and write the corresponding codes mentioned within ( ):
1. Aerospace Engg. (AS), 2. Agricultural Engg. (AG), 3. Architectural Engg. (AR), 4. Chemical Engg. (CH),
5. Civil Engg. (CV), 6. Computer Tech. (CT), 7. Electrical Engg (EL), 8. Electronics & Telecomm. Engg
(ET), 9. Environmental Engg (EN), 10. Marine Engg (MR), 11. Mechanical Engg. (MC), 12. Metallurgy &
Materials Engg. (MM), 13. Mining Engg. (MN), 14. Production Engg. (PR), 15. Textile Engg. (TX),
Othersof(Please
writePapers
here and
a two
digit code for the same in the box ………………….………..
E.16.
Details
Published
inprovide
Journals
/ Conferences:
Form no. Tech/R&D/01 Rev: 01/00000000 dt 20.07.2015
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The Institution of Engineers (India)
Technical Department
The Institution of Engineers (India) R&D Grant-in-aid Scheme
E. Details of Published Papers in Journals/Conferences
1) By the Guide(s) (Please mention maxm 5 published papers in Peer-reviewed journals and National & International
Conferences)
Sl.
Title of Paper
Authors
Name of Journal /
Conference
Volume No. & Page
no. (from-to)
1
2
3
4
5
2) By the student(s) (Please mention maxm 3 published papers in Journals and National & International Conferences, if
any) [Not required for Polytechnic Students]
Sl.
Title of Paper
Authors
Name of Journal /
Conference
Volume No. & Page
no. (from-to)
1
2
3
F. Objectives of the proposed project – (2000 characters)
G. Review of R&D in the proposed area (National & International Status, Importance, patents etc.) –
(3000 characters)
H. Project Duration (in months) [Please refer to Clause 4 of Eligibility Criteria of Guidelines]
X X
Form no. Tech/R&D/01 Rev: 01/00000000 dt 20.07.2015
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The Institution of Engineers (India)
Technical Department
The Institution of Engineers (India) R&D Grant-in-aid Scheme
I. Work plan (including detailed methodology and time schedule) – (5000 characters)
J. Future plans (1200 characters)
K. Where the Research Findings / Developed Equipment can be used in future (1000 characters)
L. Facilities to be provided by Applicant’s Institute:
Form no. Tech/R&D/01 Rev: 01/00000000 dt 20.07.2015
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The Institution of Engineers (India)
Technical Department
The Institution of Engineers (India) R&D Grant-in-aid Scheme
M. Details of Financial Requirements (in Rs.) [Fund will be provided by IEI for non-recurring expenditure only i.e.
for special equipment and small tools reqd. for this project, testing, experimentation, field visit etc. No scholarship,
honorarium can be provided or permanent equipment like computers and peripherals can be procured under this grant]:
Sl.
Details of expenditure
Type
(Recurring
/ nonrecurring)
Estimated
Cost
In Rs.
Fund to be
arranged by
student’s Instt. /
other sources*
Fund required
from The
Institution of
Engineers (India)
In Rs.
TOTAL:
SUMMARY OF FINANCIAL REQUIREMENT (in Rs.)
Type
Recurring
Non-recurring
TOTAL
1 – 6 months
7 – 12 months
13 – end of project
*Please mention the other sources of fund (if any):
Form no. Tech/R&D/01 Rev: 01/00000000 dt 20.07.2015
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The Institution of Engineers (India)
Technical Department
The Institution of Engineers (India) R&D Grant-in-aid Scheme
Declaration:
Project Title
Declaration by student/s:
I/we............................................................................................................................................................................
(Name of student/s)
....................................................................................................................................................................................
of ...............................................................................................................................................................................
(Name of university/institute)
hereby declare that I/we shall undertake the project strictly in accordance with the provisions specified in the
project proposal and we shall submit half-yearly reports about the progress of the work and final report as per
the format of IEI on completion of the project. In case of failure, we shall refund the grant to IEI. We also
authorise IEI to publish the findings of the project in their publications and also to use the same for any useful
purpose as deemed fit by the IEI.
Date:
Place:
Signature of student/s with IEI membership no. (for PG & Ph.D students)
Recommendation by guide/s:
I/we ...........................................................................................................................................................................
(Name of guide/s)
of ...............................................................................................................................................................................
(Name of university/institute)
recommend the above project, which is to be carried out under my/our supervision. We shall arrange to submit
half-yearly reports about the progress of the work and final report as per the format of IEI on completion of the
project. In case of failure, we shall arrange to refund the grant to IEI. We also authorize IEI to publish the
findings of the project in their publications and also to use the same for any useful purpose as deemed fit by the
IEI.
Date:
Place:
Signature of guide/s with IEI membership no.,(if he/she is a Member)
Recommendation by Head of the University/Institute:
The project is recommended for obtaining grant-in-aid from IEI with the following conditions:
i) The Investigator will be governed by the rules and regulations of the University/Institute and will be under
administrative control of the University/ Institute for the duration of the project.
ii) The grant-in-aid by the IEI will be used to meet the expenditure on the project and for the period for which
the project has been sanctioned.
iii) No administrative or other liability will be attached to the IEI at the end of the project.
iv) The University/ Institute will provide basic infrastructure and other required facilities to the investigator for
undertaking the research project.
v) The University/ Institute will take into its books all assets received under this sanction and its disposal would
be at the discretion of University/ Institute.
vi) The University/Institute assumes to undertake the financial and other management responsibilities of the
project.
Seal of University/Institute
Form no. Tech/R&D/01 Rev: 01/00000000 dt 20.07.2015
Signature of Registrar of University/Head of Institute
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The Institution of Engineers (India)
Technical Department
The Institution of Engineers (India) R&D Grant-in-aid Scheme
Information Sheet
1.
PROJECT TITLE (in CAPITAL letters – maxm. 150 characters):
2.
INFORMATION ABOUT THE INSTITUTE
2.1 NAME OF INSTITUTE :
2.2 CATEGORY OF INSTITUTE:
Engineering Colleges/ Universities
Polytechnics
(Please tick)
(Please tick)
2.2.1 University
2.2.1 Government
2.2.2 IISc/ IISER/ IIT/ NIT/ Govt. Engg. College
2.2.2 Government -aided
2.2.3
2.2.3 Private/PPP
Non-govt. Engineering/Technological College
2.2.4 IEI Institutional Membership No. of the Institute:
2.2.4 IEI Institutional Membership No. of the
Institute: (Not Mandatory)
3. INFORMATION ABOUT THE GUIDE/S
3.1 NAME OF GUIDE/S WITH MEMBERSHIP NUMBER OF THE INSTITUTION OF ENGINEERS
(INDIA) [Maximum 2 guides per project – Guide/s must be a corporate member of the IEI]
Sl.
No.
1
2
Name
IEI Membership No.
3.2 CONTACT DETAILS OF PRINCIPAL GUIDE (ALL COMMUNICATION WILL BE SENT TO THIS
CONTACT):
Email
Form no. Tech/R&D/01 Rev: 01/00000000 dt 20.07.2015
Mobile No.
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The Institution of Engineers (India)
Technical Department
The Institution of Engineers (India) R&D Grant-in-aid Scheme
4. INFORMATION ABOUT THE STUDENT/S (MAXM. 3 STUDENTS PER PROJECT)
4.1 Is there any Students’ Chapter of The Institution of Engineers (India) in your Institution?:
YES / NO
4.2 NAME OF STUDENT/S WITH MEMBERSHIP NUMBER OF THE INSTITUTION OF ENGINEERS
(INDIA) [The Principal Investigator’s name should be placed in Sl. no.1.]:
Sl.
No.
Name
Category
(UG/PG/Ph.D/
Polytechnic)
IEI Membership No.#
1
2
3
# Not mandatory for UG students/Polytechnic students. Post-graduate & Ph.D students must be members of IEI
4.3 CONTACT DETAILS OF PRINCIPAL STUDENT INVESTIGATOR (ALL COMMUNICATION WILL
BE SENT TO THIS CONTACT):
Email
Form no. Tech/R&D/01 Rev: 01/00000000 dt 20.07.2015
Mobile No.
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