Application for

Best Graduate Student Award 2024

1. IEEE Membership Details

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IEEE Membership Number *

Current IEEE Member or should have been an IEEE Member for a duration of 1 year at least within the previous 3 years (before the month and year of commencement of application).

Attach Membership Card *

Click or drag a file to this area to upload.

.pdf, .jpg, .jpeg, or .png files only, less than 1mb.

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Member since - Month *

Month

Phone Number *

Member since - Year *

Year

2. Personal Details

Name of Nominee (as per 10th certificate) *

Address for correspondence

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Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Email *

Confirm Email

Phone Number *

3. Nationality

Country *

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Document *

Attach Here *

Click or drag a file to this area to upload.

4. Education

a. X

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X Board *

X GPA/Percentage *

b. XII

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XII Board *

XII Percentage *

If applicant has pursued Diploma after X then please enter the aggregate percentage of all 3 years

c. Undergraduate Degree

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Name of the Degree *

Name of the College *

Passing Year *

Name of the University *

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First Year GPA (Consolidated GPA for Sem I and Sem II) *

In one decimal point for e.g. 8.9, 9.7.

Third Year GPA (Consolidated GPA for Sem V and Sem VI) *

In one decimal point for e.g. 8.9, 9.7.

Second Year GPA (Consolidated GPA for Sem III and Sem IV) *

In one decimal point for e.g. 8.9, 9.7.

Fourth Year GPA (Consolidated GPA for Sem VII) *

In one decimal point for e.g. 8.9, 9.7.

5. Co-curricular/Extra-curricular Achievements

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Co-curricular Achievements – Please list down your top achievements in the last 4 years (maximum 5 achievements in 200 words only) *

Extra - curricular Achievements – Please list down your top achievements in the last 4 years (maximum 5 in 200 words only) *

6. Research

Total Number of Research Published (mention only published research papers) *

Details of Research

Title *

Authors

Names of Authors separated by comma

Published in

Journal

Conference

Book

Add more...

Number of Patents

Details of Patents

7. Contributions towards College / University / Community / Society / Nation

Towards Technical Development (in about 150 words) *

Towards Social/Economic Development (in about 150 words) *

Awards/ Recognitions Received *

8. Recommendation 1

It is mandatory to submit TWO recommendations

Name of person recommending *

His/Her Designation *

Organization where he/she works *

His / her email ID *

His / her contact number *

Recommendation Letter (Scanned Copy)

Click or drag a file to this area to upload.

* Please ensure that the recommendation is mentioned on authorised letterhead only. Max File Size : 2 MB

Recommendation letters (on authorised letterhead only) can also be mailed directly by the Referee to info@hfrc-ieeeawards.org

Tick box to state that we can contact the person for verification *

I agree

9. Recommendation 2

Name of person recommending *

His/Her Designation *

Organization where he/she works *

His / her contact number *

His / her email ID *

Recommendation Letter (Scanned Copy)

Click or drag a file to this area to upload.

* Please ensure that the recommendation is mentioned on authorised letterhead only. Max File Size : 2 MB

Recommendation letters (on authorised letterhead only) can also be mailed directly by the Referee to info@hfrc-ieeeawards.org

Tick box to state that we can contact the person for verification *

I agree

Statement of Worthiness & include how the prize money would be used (250 words) *

Please upload certificates / credentials that validate your academic, co-curricular and extra curricular achievements. The files can be in jpg / pdf format only. Recommendation letters / experience certificates or any other content which is in MS word file, may be scanned and converted to jpg/pdf and then uploaded. Each file being attached should not be more than 200 KB.

X Class / Equivalent mark sheet *

Click or drag a file to this area to upload.

XII Class mark sheet (or equivalent level) *

Click or drag a file to this area to upload.

First Year Graduation *

Click or drag a file to this area to upload.

Second Year Graduation *

Click or drag a file to this area to upload.

Third Year Graduation *

Click or drag a file to this area to upload.

Fourth Year Graduation *

Click or drag a file to this area to upload.

Provisional / degree copy *

Click or drag a file to this area to upload.

Any Additional Certificates

Click or drag files to this area to upload. You can upload up to 10 files.

If any additional file / credential needs to be shared with the Award committee, please mail it to info@www.hfrc-ieeeawards.org

Declaration: I hereby declare that the particulars furnished by me in this nomination / application form are true and correct to the best of my knowledge and belief. In case any information is found to be incorrect / false, my candidature shall be liable to be rejected. *

I Agree