ࡱ> PROU  bjbjnn [;aa7B B 222FFFF$jTF+^y+{+{+{+{+{+{+4.0F{+2#|{+e+:R2y+y+r)T"*О :)*e++0+7*0101*012*{+{++01B B : @̽Ƶ Faculty Nomination for Awards and Scholarship   Name of the Applicant: Department: Designation : Date of Joining: Email Id.: Phone (Mobile): Name of the organization/ university requested for nomination (attach the advertisement for the awards/ scholarship). Forms of awards in details (Medal, Certificate, Certificate with cash amount, etc.). Name of the award / scholarship [Please attach the application, documents, CD (full set) to be forwarded, and specifically mark the places to be signed by the institute authority.] Address of the organization/ university, where the application / documents to be forwarded. Is there any financial / administrative obligation (like TA/ DA, leave etc.) of IITG, in respect to receive the award/ scholarship? Tentative date of announcement of the result.Last date of forwarding your application. (Please submit at least 2 weeks before that). : Have you received / applied for any other award/ scholarship during this year or previous year. If yes, kindly provide details (name of the award, forms of award, etc.) UNDERTAKING I will officially declare the result of the above award/ scholarship in writing to the office of Alumni and External Relations (AER) if selected. (Applicants Signature) HoD/ HoC DoAER/ DirectorFor all casesFor all casesFor approval Copy To: Office of the DoFA: For information / record please. 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