Best Female Engineering Student (2019)

1. IEEE Membership Details

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 from the year of application.

Member since - Month *

Month

Member since - Year *

Year

2. Personal Details

Name of Nominee (as per 10th certificate) *

Address for correspondence *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Email *

Email

Confirm Email

Phone *

3. Nationality

Country *

Document *

Attach Here *

4. Education

a. X

X Board *

X CGPA/Percentage *

b. XII

XII Board *

XII CGPA/Percentage *

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

c. Undergraduate Degree

Name of the Degree *

Name of the College *

Name of the University *

Passing Year *

Marks of First Year (Consolidated CGPA / Percentage) *

Marks of Second Year (Consolidated CGPA / Percentage) *

Third Year Exam Conducted *

Yes
No

Marks of Third Year (Consolidated CGPA / Percentage) *

Fourth Year Exam Conducted *

Yes
No

Marks of Fourth Year (Consolidated CGPA / Percentage) *

Due to Covid-19 Pandemic, if your University / Institute has not conducted the V / VII Semester exam or hasn’t declared the results for the said semester, you are requested to please submit marksheet up to the previous semester ONLY. Please send a mail to info@hfrc-ieee.org informing us about the status of your V or VII semester examination.

5. Co-curricular/Extra-curricular Achievements

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

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

6. Research

Total Number of Research Published *

Details *

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

Name of person recommending *

His/Her Designation *

Organization where he/she works *

His / her contact number *

His / her email id *

Recommendation Letter (Scanned Copy)

Max File Size : 200 KB

Recommendation letters can also be mailed directly by the Referee to info@hfrc-ieee.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)

Max File Size : 200 KB

Recommendation letters can also be mailed directly by the Reference to info@hfrc-ieee.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 *

XII Class mark sheet (or equivalent level) *

First Year Graduation *

Second Year Graduation *

Third Year Graduation

Fourth Year Graduation

Any Additional Certificates

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