Tamilnadu & Pondicherry Section Indian Society for Technical Education, New Delhi Nomination form – ISTE Chapter Best Student Award -2015 Name and address of Polytechnic College ISTE Student chapter Membership : Name of the Student : Department : Mobile No./Email ID : 12 th / 10th % of marks : % Mark (upto ____ semester) : Achievements in Academic : Extracurricular Activities : Participation in ISTE activities (*) : Any other details : Signature of HOD : : Student’s ISTE Membership No. : Signature of ISTE Student Chapter Advisor Year / Sem. : Signature of Principal with seal (*) Proof is compulsory The Principal may recommend only one student for the award. In case of extraordinary situation, the Principal may recommends for 2 candidates. All nominations should be reached to Prof. A.K.Natesan, ISTE TN&P section Chairman, Excel Group Institutions, Pallakapalayam, Sankari West Post, Namakkal Dist.-637303 (T.N.) on or before 23/2/16.