E1. Industrial Partner NAME E2. HIGHEST DEGREE E3. POSITION (full with no initials) E4. SECTION / UNIT E5. FACTORY / INDUSTRY E6. OFFICIAL MAILING ADDRESS E7.Partner Industry Certification/Registration: NTN/STN: E8. Telephone:( Fax: (Area area code, number and extension) code, number) Mobile: Email: F1. PROPOSED DURATION OF PROJECT: F2. PROPOSED STARTING DATE (in months) F3. FUNDS REQUESTED F3.HEC COMPONENT (UPTO 14Million) F4- INUDSTRY COMPONENT RS. A. 1st YEAR installment RS.___ A. 1st YEAR installment ___________________(Million) RS.______________________(Million) B. 2nd YEAR installment B. 2nd YEAR installment RS. _____________________ (Million) RS. _____________________ (Million) SIGNATURE OF PRINCIPAL INVESTIGATOR SIGNATURE OF PARTNER INDUSTRY Date Date ENDORSEMENT OF THE HEAD OF INSTITUTION ENDORSEMENT OF THE HEAD OF INDUSTRIAL ORGANIZATION of University, Director of Degree-awarding Institutions) (Must be stamped) Signature & Date Signature & Date Name Title: Name Title: Address: Address: Phone FAX FAX E-mail E-mail 1. PROJECT SUMMARY Describe the proposed prototype and any research required about 250 words. Attach sketch/diagrams/photo, if needed, to illustrate your concept.
E1. Industrial Partner NAME (full with no initials) E2. HIGHEST DEGREE E3. POSITION E4. SECTION / UNIT E5. FACTORY / INDUSTRY E6. OFFICIAL MAILING ADDRESS E7.Partner Industry Certification/Registration: NTN/STN: E8. Telephone:( area code, number and extension) Fax: (Area code, number) Mobile: Email: F1. PROPOSED DURATION OF PROJECT: (in months) F2. PROPOSED STARTING DATE F3. FUNDS REQUESTED RS. F3.HEC COMPONENT (UPTO 14Million) A. 1st YEAR installment RS.___ ___________________(Million) B. 2nd YEAR installment RS. _____________________ (Million) F4- INUDSTRY COMPONENT A. 1st YEAR installment RS.______________________(Million) B. 2nd YEAR installment RS. _____________________ (Million) SIGNATURE OF PRINCIPAL INVESTIGATOR Date SIGNATURE OF PARTNER INDUSTRY Date ENDORSEMENT OF THE HEAD OF INSTITUTION of University, Director of Degree-awarding Institutions) Signature & Date Name Title: Address: Phone FAX E-mail ENDORSEMENT OF THE HEAD OF INDUSTRIAL ORGANIZATION (Must be stamped) Signature & Date Name Title: Address: FAX E-mail 1. PROJECT SUMMARY Describe the proposed prototype and any research required about 250 words. Attach sketch/diagrams/photo, if needed, to illustrate your concept.
TDF%20-%20Application%20form.docx