SPARK

Students are highly encouraged to interact with CSIR-4PI Scientists and identify a guide/co-guide and thesis topic before they formally submit the application to SPARK Application Form

Personal Details

Applicant Name *
Date of Birth *	(mm/dd/yyyy) Age:
Gender *	Male Female
Nationality *
Postal Address * (Please give the full Postal Address)
City: *	State : *
Pincode: *	Email-ID: *
Phone No: * (e.g:080250XXXXX)	Mobile no: * (e.g:090357XXXXX)

Current Course Details

Name of the Course *	(Others please specify)
Specialization *
Institute Category *
Name of Institute *
Department *
Postal Address of the Institute *
Course Duration *
CGPA/Mark % *	Aggregate *

Previous Academic Details

Percentage Mark in SSLC/10^th Class *
Percentage Mark in PUC/12^th Class *
Highest Degree *
Specialization
Institute Category
Name of the Institute
Department
Postal Address of the Institute
CGPA/Mark %

Project / Thesis Information(To be carried out)

Note : Select "Project/Thesis" for Final Semester Project Which needs a signed Project/Thesis report.
Maximum duration of Internship is 3 Months.

Scheme : *

From *

(dd/mm/yyyy)

To *

(dd/mm/yyyy)

Duration in Number *

(Months)

Area of Interest : *

(Others pls. specify)

Details of guide from your University/Institute

Name *	Designation *
Department *	Email-ID: *
Phone/Mobile no: * (e.g:080250XXXXX / 090357XXXXX)

Name of the guide from CSIR 4PI (if identified)

Any other Relevant Information:

* Please check your entries carefully before you submit. Once submitted, corrections are not permitted

* Multiple submission by the same student or making bogus entries would result in disqualifying the student

I hereby declare that the information given above are correct to the best of my knowledge and belief. I am aware that if any part of the data/information submitted is found to be false or misleading, the candidature can be rejected at any stage.

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