University Day 2013

Campus Day 2015PROFORMA FOR NOMINATION OF SPECIAL ACHIEVERS AWARD (2014-2015)

Name of the Student:Reg. no.:Program & Branch:

School:

Bank A/c details at VIT Indian Bank:

Contact Address:

Present Address:

Permanent Address: (Pls ignore if same as present address)

e-mail address & Mobile number:

1. Awards received in International competitions / conferences / symposia for poster or paper presentations Details.

2. Received any International scholarship? (Give details)

3. Are you a recipient of any International internship? (If yes, provide the details)

4. Exceptionally high scores in competitive exams like GATE, CAT, GRE, TOEFL etc. - (Give details)5. Any unique achievements related to innate talents like memory championship, publishing books, debating, limca records etc and other co curricular and extracurricular activities (Give details)

(Students signature with date)2/2Submit the filled hard copy of this document along with the necessary proofs