complete information. Incomplete proforma ofsuggestions in any respect will be summarily
rejected.)
Enrolment No.: ………………………
Study Centre: ……………….……….
Regional Centre:……… RCCode:….
E-mail: ………….………..……………
Telephone No.: ………………………
1. Name and Address of the student ………………………..…………………………………….
2. Title of the Project ……………..………..…………………………………………………….
3. Name and Address of the Counsellor……..…………………………………………………….
Ph.D* M.Tech.*B.E*/B.Tech.* MCA M.Sc.*
4. Educational Qualification of the Counsellor
(Attach bio-data also)
(*in Computer Science / IT only)
5. Working / Teaching experience of the Counsellor**….………………………………………
6. Software used in the Project…………….. ………………………………………………………
Signature of the Student Signature of the Counsellor
Date: ………………… Date: …………………….
